信息-动机-行为技巧模型下干预对膀胱癌术后膀胱灌注化疗患者自我效能感、遵医行为及预后的影响

Effect of Intervention under the Information-motivation-behavioral Technique Model on Self-efficacy,Compliance Behavior and Prognosis in Patients Undergoing Bladder Perfusion Chemotherapy after Bladder Cancer

目的:探讨信息-动机-行为技巧(IMB)模型下干预对膀胱癌术后膀胱灌注化疗患者自我效能感、遵医行为及预后的影响。方法:纳入2019年7月-2021年7月于仙游县总医院行膀胱癌手术治疗的90例患者作为观察对象,术后均进行膀胱灌注化疗,后根据护理方法差异性分为观察组和对照组,45例患者采取常规护理,纳入对照组,45例患者应用IMB模型制订护理干预手段,纳入观察组,比较两组患者自我效能感、遵医行为及预后情况。结果:观察组护理后的遵医行为评分均高于对照组(P<0.05);观察组护理后的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于对照组(P<0.05);观察组护理后的自我效能感评分均高于对照组(P<0.05);观察组并发症发生率及复发率均低于对照组(P<0.05)。结论:膀胱癌术后膀胱灌注化疗中应用IMB模型所制订护理措施进行干预,不仅可以提高其遵医行为和自我效能感,还能减轻患者负面情绪,促进预后改善,效果显著,值得在临床上大力推广。

Objective:To explore the effects of intervention based on information-motivation-behavioral(IMB)technique model on self-efficacy,compliance behavior and prognosis of patients with bladder cancer undergoing postoperative intravesical chemotherapy.Method:A total of 90 patients with bladder cancer who underwent surgery in Xianyou County General Hospital from July 2019 to July 2021 were included as observation objects.All patients were treated with bladder perfusion chemotherapy after operation.They were divided into observation group and control group according to the difference of nursing methods.45 patients were treated with routine nursing and included in the control group.45 patients were treated with IMB model to formulate nursing intervention measures and included in the observation group,the self-efficacy,compliance behavior and prognosis of the two groups were compared.Result:The scores of compliance behavior in the observation group after nursing were higher than those in the control group(P<0.05);the scores of SAS and SDS in the observation group after nursing were lower than those in the control group(P<0.05);the self-efficacy scores of the observation group after nursing were higher than those of the control group(P<0.05);the complication rate and recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of IMB model in bladder perfusion chemotherapy after bladder cancer can not only improve their compliance behavior and selfefficacy,but also reduce the negative emotions of patients,promote the improvement of prognosis,and have a remarkable effect,which is worthy of clinical promotion.