基于信息-动机-行为技巧模型的护理在病毒性肝炎患者中的应用效果

Application effects of information motivation behavioral skill model-based nursing on patients with viral hepatitis

目的:探讨基于信息-动机-行为技巧(IMB)模型的护理在病毒性肝炎患者中的应用效果。方法:选取2021年5月至2022年5月该院收治的68例病毒性肝炎患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各34例。对照组实施常规护理,观察组实施基于IMB模型的护理,两组均护理3个月。比较两组护理前后负性情绪[贝克焦虑量表(BAI)、贝克抑郁量表第2版(BDI-Ⅱ)]评分、依从性评分、自我效能感[一般自我效能感量表(GSES)]评分、生命质量[生活质量综合评定问卷(GQOL-74)]评分和护理满意度。结果:护理后,观察组BAI、BDI-Ⅱ评分均低于对照组,差异有统计学意义(P<0.05);观察组饮食、服药、复查、作息方面的依从性评分,GSES评分,躯体功能、心理功能、物质生活状态、社会功能等GQOL-74各项评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.06%(33/34),高于对照组的76.47%(26/34),差异有统计学意义(P<0.05)。结论:基于IMB模型的护理应用于病毒性肝炎患者可有效缓解患者焦虑、抑郁等负性情绪,提高依从性、自我效能感评分、护理满意度和生命质量,效果优于常规护理。

Objective:To explore application effects of information-motivation-behavioral skills(IMB)model-based nursing on patients with viral hepatitis.Methods:A prospective study was conducted on 68 patients with viral hepatitis admitted to the hospital from May 2021 to May 2022.According to the random number table method,they were divided into control group and observation group,34 cases in each group.The control group received routine nursing,while the observation group received the IMB model-based nursing.Both groups were treated for 3 months.The negative emotions[Beck anxiety inventory(BAI),Beck depression inventory-II(BDI-II)]scores,the compliance score,the self-efficacy[general self-efficacy scale(GSES)]score,the quality of life[general quality of life inventory(GQOL-74)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the BAI and BDI-Ⅱscores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The compliance scores of diet,medication,review,rest,the GSES score,and the GQOL-74 scores of physical function,psychological function,material life status,and social function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.06%(33/34),which was higher than 76.47%(26/34)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The IMB model-based nursing in the patients with viral hepatitis can effectively alleviate the negative emotions such as anxiety and depression,improve the compliance,the self-efficacy scores and the nursing satisfaction,and improve the quality of life.Moreover,it is superior to the routine nursing.