基于信息-动机-行为模型的护理干预对乳腺癌术后患者锻炼依从性及肩关节功能的影响

Effects of nursing intervention based on the information-motivation-behavioral skills model on exercise compliance and shoulder joint function of postoperative breast cancer patients

目的探讨基于信息-动机-行为模型的护理干预对乳腺癌术后患者锻炼依从性及肩关节功能的影响。方法选取2019年1月—2020年5月长沙市某医院收治的200例乳腺癌患者为研究对象。采用随机数字表法将患者分为研究组与对照组,每组100例。对照组患者行常规护理,研究组患者在对照组的基础上给予基于信息-动机-行为模型的护理干预。采用自制锻炼依从性评价量表评估出院时2组患者锻炼依从性;比较2组患者干预前及出院时焦虑自评量表(SAS)、抑郁自评量表(SPS)及生活质量评估量表(QOL)评分。结果研究组患者锻炼时间、锻炼频率、锻炼准确性评分均高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SAS、SDS及QOL评分比较,差异无统计学意义(P>0.05)。出院时,2组患者SAS及SDS评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者QOL评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论基于信息-动机-行为模型的护理干预可提高乳腺癌术后患者锻炼依从性,改善患者肩关节功能,减轻患者负性情绪,提高患者生活质量,值得临床进一步推广应用。

Objective To explore the effects of nursing intervention based on the information-motivation-behavior-al skills model on the exercise compliance and shoulder joint function of postoperative breast cancer patients.Methods Two hundred breast cancer patients admitted to a hospital in Changsha from January 2019 to May 2020 were selected for the study.A random number table was used to divide the patients into the study group and the control group,with 100 cases in each group.Patients in the control group were given conventional care,and pa-tients in the study group were given nursing intervention based on the information-motivation-behavioral skills model on the basis of the control group.A self-administered exercise compliance evaluation scale was used to as-sess the exercise compliance of the two groups of patients at the time of discharge.The self-rating nxiety scale(SAS),self-rating depression scale(SDS),and quality of life(QOL)of the 2 groups were compared before the interve ntion and at discharye.Results Patients in the study group had higher exercise time,exercise frequency,and exercise accuracy scores than the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the SAS,SDS and QOL scores of patients in the 2 groups(P>0.05).At the time of discharge,the SAS and SDS scores of patients in the 2 groups were lower than before the intervention,and those in the study group were lower than those in the control group,with statistically significant differences(P<0.05).At discharge,the QOL scores of patients in both groups were higher than before the intervention,and that in the study group was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion The nursing intervention based on the in-formation-motivation-behavioral skills model can improve the exercise compliance of postoperative breast cancer patients,improve their shoulder joint function,reduce their negative emotions and improve their quality of life,and it is worthy of wider clinical application.