IMCHB下责任制全局护理模式对膀胱癌手术患者负性情绪及自我效能水平的影响

Influence of responsibility based global nursing mode under IMCHB on negative emotion and self-efficacy of patients undergoing bladder cancer surgery

目的 研究健康行为互动模式(IMCHB)下责任制全局护理模式对膀胱癌手术患者负性情绪及自我效能水平的影响。方法 选择2021年1月—2022年12月本院收治的114例膀胱癌手术患者作为研究对象,采用随机数表法分为研究组与对照组两组,每组各57例。两组均给予手术治疗,对照组施加常规护理干预,研究组在常规护理基础上施加IMCHB下责任制全局护理模式干预。比较两组负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自护能力[自我护理能力测定表(ESCA)]、自我效能[自我效能感量表(GSES)]、生活质量[造口患者生活质量量表(COH-QOLOQ)]、护理满意度。结果 干预后,研究组患者的抑郁(SDS)、焦虑(SAS)评分低于对照组,差异有统计学意义(P<0.05);干预后,研究组患者的自护能力(ESCA)、自我效能(GSES)评分高于对照组,差异有统计学意义(P<0.05);干预后,研究组患者的社会、生理、精神、心理健康评分高于对照组,差异有统计学意义(P<0.05);研究组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 IMCHB下责任制全局护理模式能提高膀胱癌手术患者自护能力、生活质量,增加自我效能,减少负性情绪,提升护理满意度。

Objective To study the influence of the responsibility based global nursing model under the interaction model of client health behavior(IMCHB)on the negative emotion and self-efficacy of patients undergoing bladder cancer surgery.Methods 114 patients with bladder cancer who underwent surgery in our hospital from January 2021 to December 2022 were selected as the study subjects,and according to random number table method,they were randomly divided into the study group(57 cases)and the control group(57 cases).Both groups were given surgical treatment,the control group was given routine nursing intervention,and the research group was given responsibility based global nursing mode intervention under IMCHB on the basis of routine nursing.Negative emotions[Self Rating Depression Scale(SDS),Self Rating Anxiety Scale(SAS)],self-care ability[self-care ability scale(ESCA)],self-efficacy[General Perceived self-efficacy scale(GSES)],quality of life[City of Hope Quality of Life-Ostomy Questionnaire(COH-QOLOQ)],and nursing satisfaction of the two groups were compared.Results After the intervention,the SAS and SDS scores in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05);After intervention,the ESCA and GSES scores in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05);After intervention,the social,physiological,mental,and psychological health scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05);The nursing satisfaction of the research group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusions Under IMCHB,the responsibility based global nursing model can improve the self-care ability and quality of life of bladder cancer patients undergoing surgery,increase self-efficacy,reduce negative emotions,and improve nursing satisfaction.