信息-动机-行为模式干预对原发性肝癌介入治疗患者自我效能及认知水平的影响

Influence of information-motivation-behavior model intervention on self-efficacy and cognitive level of patients with primary liver cancer undergoing interventional therapy

目的探讨信息-动机-行为模式干预对原发性肝癌介入治疗患者自我效能及认知水平的影响。方法依据干预方法的不同将95例原发性肝癌介入治疗患者分为对照组(n=47)与观察组(n=48),对照组患者接受常规干预,观察组患者在此基础上接受信息-动机-行为模式干预。比较两组患者的自我管理水平、认知水平、依从性及满意度。结果干预后,两组患者饮食管理、治疗管理、情绪心理管理、躯体活动管理评分均低于本组干预前,观察组患者饮食管理、治疗管理、情绪心理管理及躯体活动管理评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者疾病知识、科学用药、自我护理及健康饮食评分均高于本组干预前,观察组患者疾病知识、科学用药、自我护理及健康饮食评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者康复锻炼、定期介入、饮食指导依从性及护理方法、护患沟通、护理效果满意度均高于对照组,差异均有统计学意义(P﹤0.05)。结论信息-动机-行为模式干预能提高原发性肝癌介入治疗患者的自我管理水平,改善患者的认知水平,且治疗依从性与满意度均较高。

Objective To explore the influence of information-motivation-behavior model intervention on self-efficacy and cognitive level of patients with primary liver cancer undergoing interventional therapy.Method According to different intervention methods,95 patients with primary liver cancer undergoing interventional therapy were divided into control group(n=47)and observation group(n=48).The control group received routine intervention,while the observation group received information-motivation-behavior model intervention on the basis of the control group.The self-management level,cognitive level,compliance and satisfaction of the two groups were compared.Result After intervention,the scores of dietary management,treatment management,emotional and psychological management,and physical activity management in the two groups were lower than those before intervention,the scores of dietary management,treatment management,emotional and psychological management,and physical activity management in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of disease knowledge,scientific medication,self-care,and healthy diet of the two groups were higher than those before intervention,the scores of disease knowledge,scientific medication,self-care,and healthy diet in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the compliance with rehabilitation exercise,regular intervention,dietary guidance,and satisfaction with nursing methods,nurse patient communication,nursing outcomes in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The information-motivation-behavior model intervention can improve the self-management level and cognitive level of patients with primary liver cancer undergoing interventional therapy,and has high treatment compliance and satisfaction.