信息-动机-行为技巧模型对子宫肌瘤手术患者自护能力及预后的影响

The impact of information motivation behavioral skills model on self-care ability and prognosis of patients undergoing uterine fibroid surgery

目的观察信息-动机-行为技巧模型对子宫肌瘤手术患者自护能力及预后的影响.方法选取2021年6月-2022年6月期间赣南医学院第一附属医院收治的子宫肌瘤手术患者88例为研究对象,按照随机数字表法将其分为对照组(44例)与观察组(44例).对照组实施常规护理,观察组实施信息-动机-行为技巧模型干预.比较两组自护能力、疼痛程度、护理满意度、并发症状况及生活质量.结果护理后两组自护能力测定量表(ESCA)评分高于护理前,且观察组高于对照组(P<0.05);对照组术后24h、48h、72h视觉模拟评分法(VAS)评分高于观察组(P<0.05);对照组护理满意度低于观察组(P<0.05);对照组术后并发症发生率高于观察组(P<0.05);护理后,两组疼痛、睡眠、社会活动、情感反应、活力、身体活动评分低于护理前,且观察组低于对照组(P<0.05).结论信息-动机-行为技巧模型干预可提高子宫肌瘤患者自护能力,降低术后疼痛程度,减少并发症发生率,改善预后,提高护理满意度及生活质量.

Objective To observe the impact of the information motivation behavioral skills model on the self-care ability and prognosis of patients undergoing uterine fibroid surgery.Methods A total of 88 patients admitted to the First Affiliated Hospital of South Jiangxi Medical College from June 2021 to June 2022 were selected as the study objects and divided into control group(44 cases)and observation group(44 cases)according to the random number table method.The control group received routine care,while the observation group received information motivation behavioral skills model intervention.Observe the self-care ability,pain level,nursing satisfaction,complications of two groups and quality of life.Results Self-care ability scale(ESCA)score was higher than before care,and the observation group was higher than the control group(P<0.05);the control group had a higher visual analog scoring method(VAS)score at 24h,48h and 72h after surgery than that of the observation group(P<0.05);the control group had lower satisfaction with care than the observation group(P<0.05);the control group was higher than the observation group in the incidence of postoperative(P<0.05);after the intervention,in both groups,pain,sleep,social activity,emotional response,vitality,physical activity scores were lower than before the intervention,and the observation group was lower than the control group(P<0.05).Conclusion The intervention of the Information Motivation Behavioral Skills model can improve the self-care ability of patients with uterine fibroids,reduce postoperative pain,reduce the incidence of complications,improve prognosis,and increase nursing satisfaction and quality of life.