基于信息-动机-行为技巧模型的护理干预对膀胱癌术后患者自我效能及生活质量的影响

Effects of nursing intervention based on information-motivation-behavioral skills model on self-efficacy and quality of life of patients with bladder cancer after operation

目的 探究基于信息-动机-行为技巧模型的护理干预对膀胱癌术后患者自我效能及生活质量的影响。方法 选取2019年5月至2020年10月在我院就诊的110例膀胱癌患者为研究对象,采用随机抽签法将其分为对照组(55例,常规护理干预)和观察组(55例,在对照组基础上开展基于信息-动机-行为技巧模型的护理干预)。比较两组的干预效果。结果观察组的住院时间、引流管拔除时间、术后下床活动时间短于对照组(P<0.05)。干预后,观察组的精神状况、功能状况、家庭社会情况、膀胱癌特异性模块评分高于对照组(P<0.05)。干预后,观察组的正面态度、自我决策、自我减压评分高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。干预后,观察组的免疫球蛋白A(IgA)、免疫球蛋白M(IgM)和免疫球蛋白G(IgG)水平高于对照组(P<0.05)。结论 基于信息-动机-行为技巧模型的护理干预可改善膀胱癌术后患者自我效能,提高生活质量,值得临床应用。

Objective To explore the effects of nursing intervention based on information-motivation-behavioral skills model on self-efficacy and quality of life of patients with bladder cancer after operation.Methods A total of 110 patients with bladder cancer who diagnosed in our hospital from May 2019 to October 2020 were selected as the research objects.The patients were divided into control group(55 cases,routine nursing intervention)and observation group(55 cases,nursing intervention based on information-motivation-behavioral skills model on the basis of the control group)by random lottery method.The nursing intervention effects of the two groups were compared.Results The hospitalization time,drainage tube removal time and postoperative ambulation time in the observation group were shorter than those in the control group(P<0.05).After intervention,the scores of mental status,functional status,family and social status and bladder cancer specific module in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of positive attitude,self-decision and self-decompression in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).After intervention,the levels of immunoglobulin A(IgA),immunoglobulin M(IgM)and immunoglobulin G(IgG)in the observation group were higher than those in the control group(P<0.05).Conclusion Nursing intervention based on information-motivation-behavioral skills model can improve the self-efficacy and quality of life of patients with bladder cancer after operation,which is worthy of clinical application.