基于信息-动机-行为技巧模型的护理干预对慢性精神分裂症患者服药依从性的影响

The Impact of Nursing Interventions Based on the Information Motivation Behavioral Skills Model on Medication Adherence in Patients with Chronic Schizophrenia

目的分析基于信息-动机-行为技巧(information-motivation-behavioral skills,IMB)模型所建立的护理干预对慢性精神分裂症患者服药依从性的影响。方法随机选取2022年1月—2023年12月南京市佑安医院收治的100例慢性精神分裂症患者为研究对象,根据不同护理模式将其分为对照组和观察组,各50例。对照组采取常规健康教育护理模式,观察组采取基于IMB模型构建的护理模式。对比两组患者依从性和家属对护理的满意度。结果护理后,两组患者药物依从性评定量表得分均升高,且观察组在护理结束时、9个月时、12个月时服药依从性得分(8.67±1.21)分、(8.25±1.04)分、(8.14±1.06)分均高于对照组的(6.03±1.48)分、(5.41±2.68)分和(5.29±3.14)分,差异有统计学意义(t=9.765、6.986、6.081,P均<0.05);对照组护理总满意度为86.00%(43/50),低于观察组的98.00%(49/50),差异有统计学意义(χ^(2)=4.891,P<0.05)。结论基于IMB模型的护理干预可提高患者的服药态度及信念,改善患者的服药依从行为,进而提升患者家属对护理服务的满意度。

Objective To analyze the effect of nursing intervention based on information-motivation-behavioral skills(IMB)model on medication compliance of patients with chronic schizophrenia.Methods A total of 100 patients with chronic schizophrenia admitted to Nanjing Youan Hospital from January 2022 to December 2023 were randomly selected as the study objects and divided into control group and observation group by different nursing model,with 50 cases each.The control group received routine health education,and the observation group received nursing intervention based on IMB model.The compliance and family satisfaction with nursing were compared between the patients in two groups.Results After nursing,the scores of medication compliance rating scale were increased in both groups,and the scores of medication compliance in observation group at the end of nursing,9 months and 12 months were(8.67±1.21)points,(8.25±1.04)points and(8.14±1.06)points were higher than(6.03±1.48)points,(5.41±2.68)points and(5.29±3.14)points in control group,and the differences were statistically significant(t=9.765,6.986,6.081,all P<0.05).The total satisfaction of nursing 86.00%(43/50)in control group was lower than 98.00%(49/50)in observation group,and the difference was statistically significant(χ^(2)=4.891,P<0.05).Conclusion Nursing intervention based on IMB model can improve patients'attitudes and beliefs about taking medicine,improve patients'compliance behavior,and then enhance patients'families'satisfaction with nursing services.