信息-动机-行为技巧模型在精神分裂症患者护理中应用效果分析

Analysis of the information-motivation-behavioral skill model in the care of patients with schizophrenia

目的分析在护理工作中应用信息-动机-行为技巧模型(information-motivation-behavioral skill model,IMB模型)对精神分裂症患者疾病知识、依从性、复发率的影响。方法选取2019年1月至2021年4月浙江省绍兴市第七人民医院精神科收治的94例精神分裂症患者为研究对象,按照随机数字表法分为观察组与对照组,每组47例。对照组给予传统的常规护理干预,观察组给予IMB模型干预。比较两组患者的疾病知识掌握程度、用药依从性、自我效能、自护能力以及复发率。结果观察组患者干预3、6、12个月时疾病知识的掌握程度评级为A的比例高于对照组,差异有显著性(P<0.05);6、12个月时的用药依从性优于对照组,差异有显著性(P<0.05);3、6、12个月时的自我效能高于对照组,差异有显著性(P<0.05)。干预结束后,观察组自护能力优于对照组,复发率低于对照组,差异有显著性(P<0.05)。结论将IMB模型应用于精神分裂症患者护理过程中,可有效提升患者的服药依从性与疾病知识掌握程度,改善其自我效能与自护能力,降低复发率。

Objective To analyze the effect of information-motivation-behavioral skill model(IMB)model on disease knowledge,compliance and recurrence rate in patients with schizophrenia.Method 94 patients with schizophrenia in Shaoxing Seventh People’s Hospital from January 2019 to April 2021 were selected as the research objects.94 cases were divided into two groups by random number table method.The control group was given routine treatment and nursing,and the intervention group was given the IMB model intervention method.The degree of disease knowledge,medication compliance,self-efficacy,self-care ability and recurrence rate were compared between the two groups.Result The number of patients in the intervention group who were graded as A for 3 months,6 months and 12 months of intervention was significantly more than the control group(P<0.05).The medication compliance of 6 months and 12months was significantly better than that of the control group.The self-efficacy at 3,6 and 12 months was significantly higher than that in the control group(P<0.05).After the intervention,the self-care ability of the intervention group was significantly better than that of the control group(P<0.05).The recurrence rate was significantly lower than that in the control group(P<0.05).Conclusion The application of IMB model in patients with schizophrenia can effectively improve their medication compliance and disease knowledge,improve their self-efficacy and self-care ability,and reduce the recurrence rate.