基于信息-动机-行为技巧模型的护理干预在关节镜肩袖修补术患者康复中的应用研究

Application of nursing intervention based on information-motivation-behavioral skill model in rehabilitation of patients undergoing arthroscopic rotator cuff repair surgery

目的探究基于信息-动机-行为技巧模型(IMB)的护理干预在关节镜肩袖修补术患者康复中的应用效果。方法选取2022年1月至2023年1月九江市第一人民医院骨科四个病区收治的接受关节镜肩袖修补术的116例患者作为研究对象,按照随机数字表法将其分为试验组和对照组,每组58例。对照组采用常规护理,试验组在此基础上采用IMB护理。比较两组患者术后的视觉模拟评分法(VAS)、肩关节功能情况与健康调查简表(SF-36)评分,并对两组患者实施功能锻炼依从性的评估。结果护理后,试验组的VAS评分低于对照组,肩关节功能以及生活质量评分均高于对照组,差异有统计学意义(P<0.05)。试验组的功能锻炼依从性高于对照组,差异有统计学意义(P<0.05)。结论基于IMB的护理干预在关节镜肩袖修补术患者康复中具有优越的干预效果,能够改善患者的生活质量,改善预后,具有较高的安全性,是一种值得临床广泛推广的护理干预方式。

Objective To explore the application effect of nursing intervention based on information-motivation-behavioral skill model(IMB)in rehabilitation of patients undergoing arthroscopic rotator cuff repair surgery.Methods A total of 116 patients receiving arthroscopic rotator cuff repair surgery from January 2022 to January 2023 in the Department of Orthopedics of Jiujiang NO.1 People's Hospital were selected as the research objects,and they were divided into experimental group and control group according to random number table method,with 58 cases in each group.The control group received routine nursing,and the experimental group received IMB nursing on this basis.Visual analogue scale(VAS),shoulder joint function and the MOS item short form health survey(SF-36)scores were compared between the two groups,and functional exercise compliance was evaluated.Results After nursing,VAS score of experimental group was lower than that of control group,shoulder joint function and quality of life score were higher than those of control group,the differences were statistically significant(P<0.05).The compliance of functional exercise in experimental group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on IMB has superior intervention effect in the rehabilitation of patients with arthroscopic rotator cuff repair surgery,can improve the quality of life of patients,improve the prognosis,with high safety,and is a nursing intervention method worthy of widespread clinical promotion.