以信息-动机-行动为基础的延续护理模式对宫颈癌术后尿潴留患者康复的效果

Effect of IMB-based transitional care model on recovery of patients with urinary retention after surgery for cervical cancer

目的观察以信息-动机-行动(IMB)为基础的延续护理模式在宫颈癌术后尿潴留患者中的应用效果。方法将该院收治的宫颈癌术后尿潴留患者88例随机分为两组,每组44例。对照组采取常规护理,观察组以IMB为基础的延续护理模式,持续4周。比较两组膀胱功能恢复情况、尿路感染和尿路刺激征发生率、炎性因子水平、生活质量及护理满意度。结果干预4周后,观察组膀胱功能恢复良好率高于对照组(P<0.05),尿路感染、尿路刺激征发生率与炎性因子水平均低于对照组(P<0.05或0.01),健康调查简表(SF-36)评分和护理满意度评分均高于对照组(P<0.01)。结论以IMB为基础的延续护理模式能够减少宫颈癌术后尿潴留患者尿路感染和尿路刺激征的发生率,有助于改善膀胱功能,提高生活质量和护理满意度。

Objective To observe the application effect of information-motivation-action(IMB)based transitional care model in patients with urinary retention after surgery for cervical cancer.Methods A total of 88 patients with urinary retention after surgery for cervical cancer were randomly divided into two groups,44 cases in each group.The Control Group received routine care while the Observation Group received IMB-based transitional care model,which lasted for 4 weeks.The recovery of bladder function,incidence of urinary tract infection and urinary tract irritation,levels of inflammatory factors,quality of life and nursing satisfaction were compared between the two groups.Results After 4 weeks of intervention,The good recovery rate of bladder function in the Observation Group was higher than that in the Control Group(P<0.05),the incidence of urinary tract infection and urinary tract irritation,and the levels of inflammatory factors in the Observation Group were lower than those in the Control Group(P<0.05 or 0.01),and the MOS item short from health survey(SF-36)score and nursing satisfaction score in the Observation Group were higher than those in the Control Group(P<0.01).Conclusion The IMB-based transitional care model can reduce the incidence of urinary tract infection and urinary tract irritation in patients with urinary retention after surgery for cervical cancer.It helps to improve bladder function,quality of life and nursing satisfaction.