基于信息-动机-行为技巧模型的护理干预对肠造口患者创伤后应激及自我管理水平的影响

Influence of nursing intervention based on information motivation behavior skill model on post-traumatic stress and self-management level in patients with enterostomy

目的探讨基于信息-动机-行为技巧(IMB)模型的护理干预对肠造口患者创伤后应激及自我管理水平的影响。方法选取2020年7月至2022年2月于南昌大学第二附属医院收治的90例肠造口患者为研究对象,按照随机数字表法将其分为对照组(45例)与观察组(45例)。对照组采用常规护理干预,观察组采用基于IMB模型的护理干预。比较两组创伤后应激情况、自我管理水平、治疗依从性及生活质量。结果干预前,两组患者创伤后应激障碍自评量表(PTSD-SS)评分比较,差异无统计学意义(P>0.05);干预后,两组患者PTSD-SS评分低于干预前,且观察组患者PTSD-SS评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者肠造口患者自我管理问卷(EPSQ)评分、Morisky治疗依从性问卷(MMAS-8)评分、生活质量核心问卷(QLQ-C30)评分比较,差异无统计学意义(P>0.05);干预后,两组患者EPSQ评分、MMAS-8评分、QLQ-C30评分均高于干预前,且观察组患者EPSQ评分、MMAS-8评分、QLQ-C30评分均高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的护理干预应用于肠造口患者,能够促进患者创伤后应激的减轻,改善自我管理水平,提高治疗依从性,改善生活质量。

Objective To explore the influence of nursing intervention based on information motivation behavior skill(IMB)model on post-traumatic stress and self-management level in patients with enterostomy.Methods A total of 90 patients with enterostomy admitted to the Second Affiliated Hospital of Nanchang University from July 2020 to February 2022 were selected as the study subjects,and they were divided into the control group(45 cases)and the observation group(45 cases)according to the random number table method.The control group adopted routine nursing intervention,and the observation group adopted nursing intervention based on IMB model.The post-traumatic stress,self-management level,treatment compliance and quality of life between the two groups were compared.Results Before intervention,there was no statistically significant difference between the two groups in post-traumatic stress disorder self-rating scale(PTSD-SS)scores(P>0.05).After intervention,the PTSD-SS score in the two groups was lower than that before intervention,and the PTSD-SS score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences between the two groups in the scores of enterostomy patient self management questionnaire(EPSQ),Morisky medication adherence scale(MMAS-8)and quality of life questionnaire core-30(QLQ-C30)(P>0.05).After intervention,the EPSQ score,MMAS-8 score and QLQ-C30 score in the two groups were higher than those before intervention,and the EPSQ score,MMAS-8 score and QLQ-C30 score in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The application of nursing intervention based on IMB model in patients with enterostomy can promote the reduction of post-traumatic stress,improve the level of self-management,improve treatment compliance,and improve the quality of life.