基于信息—动机—行为技巧模型的护理干预在早期肺癌患者围术期中的应用

Application of Nursing Intervention Based on Information-Motivation-Behavior Skills Model in Perioperative Period of Patients with Early Lung Cancer

目的:观察基于信息—动机—行为技巧模型(IMB)的护理干预应用于早期肺癌患者围术期的效果。方法:选取2018年6月—2020年11月莆田市第一医院收治的86例早期肺癌患者的临床资料进行回顾性分析,均行胸腔镜下肺癌根治术治疗,按入院时间顺序分为常规组41例和研究组45例。常规组采取常规护理干预,研究组在常规护理基础上采取IMB模型的护理干预。比较两组患者干预前与干预3个月后自我效能[中文版癌症自我管理效能感量表(SUPPH)评分]、生存质量[肺癌患者生存质量测定量表(FACT-L)评分]、自护能力[自我护理能力测定表(ESCA)评分]、护理满意度。结果:干预前,两组患者SUPPH评分、FACT-L评分比较,差异无统计学意义(t=1.135、1.466,P>0.05);干预3个月后,研究组SUPPH评分、FACT-L评分均较常规组高,差异有统计学意义(t=7.217、7.340,P<0.05)。干预前,两组患者ESCA评分比较,差异无统计学意义(t=1.116、1.456、1.239、1.141,P>0.05);干预3个月后,研究组ESCA评分较常规组高,差异有统计学意义(t=18.935、10.590、16.717、12.518,P<0.05)。研究组入院接待、健康教育、康复指导维度护理满意度评分较常规组高,差异有统计学意义(t=4.438、11.793、3.945,P<0.05);两组患者服务态度、护理技能维度护理满意度评分比较,差异无统计学意义(t=1.078、0.894,P>0.05)。结论:基于IMB模型的护理干预应用于早期肺癌患者围术期,可提升其自我效能,增强自护能力,改善生存质量,故而护理工作得到患者高度认可。

Objective: To observe the perioperative effect of nursing intervention based on the information-motivation-behavioral skill model(IMB) in patients with early-stage lung cancer. Methods: The clinical data of 86 patients with early stage lung cancer admitted to the hospital from June 2018 to November 2020 were selected for retrospective analysis. All patients underwent thoracoscopic radical mastectomy for lung cancer, and were divided into routine group of 41 cases and study group of 45 cases according to the time of admission. The routine group took routine nursing intervention, and the study group took the IMB model nursing intervention on the basis of routine nursing. The self-efficacy(Chinese version of Cancer Self-Management Efficacy Scale[SUPPH] score), quality of life(Lung Cancer Patient Quality of Life Measurement Scale [FACT-L] score), self-care scores(SelfCare Competency Assessment [ESCA] score), and nursing satisfaction were compared between the two groups before intervention and after 3 months of intervention. Results: Before intervention, there was no statistically significant difference in SUPPH score and FACT-L score between the two groups(t=1.135, 1.466, P>0.05). After 3 months of intervention, the SUPPH score and FACTL score of the study group were higher than those of the conventional group, and the difference was statistically significant(t=7.217, 7.340, P<0.05). Before intervention, there was no statistically significant difference in ESCA scores between the two groups(t=1.116, 1.456, 1.239, 1.141, P>0.05). After 3 months of intervention, the ESCA score of the study group was higher than that of the conventional group, and the difference was statistically significant(t=18.935, 10.590, 16.717, 12.518, P<0.05). The nursing satisfaction scores in the study group were higher than those in the routine group in terms of admission, health education, and rehabilitation guidance, and the difference was statistically significant(t=4.438, 11.793, 3.945, P<0.05). There was no statistically significant difference in the nursing satisfaction scores of the two groups of patients in terms of service attitude and nursing skills(t=1.078, 0.894, P>0.05). Conclusion: The intervention strategy of the IMB model applied to the perioperative period of patients with early lung cancer can enhance self-efficacy, enhance self-care ability, and improve the quality of life. Therefore, nursing work is highly recognized by patients.