信息-动机-行为技巧模式结合支持性心理疗法对胸外科手术后患者自护能力、疾病自我感受负担的影响

Effects of information motivation behavior skill model combined with supportive psychotherapy on self-care ability and disease self-perceived burden of patients after thoracic surgery

目的探讨信息-动机-行为技巧模式结合支持性心理疗法对胸外科手术后患者自护能力、疾病自我感受负担的影响。方法选择2020年1月至2020年12月我院收治的560例胸外科手术后患者作为研究对象,以抽签法将其分为对照组和观察组,各280例。对照组行常规护理干预,观察组在对照组基础上实施信息-动机-行为技巧模式结合支持性心理疗法干预。比较两组干预前、后的自护能力、疾病自我感受负担及并发症发生情况。结果干预后,观察组的自我护理能力测定量表(ESCA)各维度评分均高于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS-CP)各维度评分均低于对照组(P<0.05)。观察组的并发症总发生率为3.57%,低于对照组的10.36%(P<0.05)。结论信息-动机-行为技巧模式结合支持性心理疗法可提高胸外科手术后患者的自护能力,缓解其疾病自我感受负担,还能降低并发症发生率。

Objective To explore the effects of information motivation behavior skill model combined with supportive psychotherapy on self-care ability and disease self-perceived burden of patients after thoracic surgery.Methods A total of 560 patients after thoracic surgery treated in our hospital from January 2020 to December 2020 were selected as the research objecsts.The patients were divided into control group and observation group by lot,with 280 cases in each group.The control group received routine nursing intervention,and the observation group implemented information motivation behavior skill model combined with supportive psychotherapy intervention on the basis of the control group.The self-care ability,disease self-perceived burden before and after intervention and occurrence of complications of the two groups were compared.Results After intervention,the scores of all dimensions of the self-care ability scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of all dimensions of self perceived burden scale(SPBS-CP)in the observation group were lower than those in the control group(P<0.05).The total incidence of complications in the observation group was 3.57%,which was lower than 10.36%in the control group(P<0.05).Conclusion The information motivation behavior skill model combined with supportive psychotherapy can improve the self-care ability of patients after thoracic surgery,alleviate their disease self-perceived burden,and reduce the incidence of complications.