基于IMB模型的绘画干预对杜氏肌营养不良患儿自我效能与心理弹性的影响

Effect of IMB model-based painting intervention on self-efficacy and psychological flexibility in patients with Duchenne muscular dystrophy

目的探讨基于信息-动机-行为技巧(IMB)模型的绘画干预对杜氏肌营养不良(DMD)患儿自我效能与心理弹性的影响。方法选取医院2019年1月—2021年1月以病房接诊的112例杜氏肌营养不良患儿为本次的研究对象,按照入院后分两区收治的原则,并结合医院年收治患儿量,根据护理方法不同分为观察组和对照组,各56例。对照组实施临床常规护理,观察组在对照组的基础上实施基于IMB模型的绘画干预。比较两组患儿干预前后自我效能评分(GSES评分)、心理弹性评分(CD-RISC评分)、6 min步行测试、10 m跑步时间,评估干预前后患儿生活质量评分(GQOL-74评分)的差异。结果干预前两组患儿CD-RISC评分、GSES评分、GQOL-74评分比较,差异无统计学意义(P>0.05);干预后观察组患儿CD-RISC评分、GSES评分、GQOL-74评分均高于对照组,差异具有统计学意义(P<0.05);干预后两组患儿6 min步行测试,观察组步行距离长于对照组,10 m步行时间低于对照组,差异具有统计学意义(P<0.05)。结论对杜氏肌营养不良患儿而言,采取基于IMB模型的绘画干预临床效果可见,且与常规的临床护理干预相比,该方法能有效提高DMD患儿自我效能与心理弹性水平,缓解疾病进展,改善步行功能,提高其生活质量。

Objective To explore the effects of painting intervention based on information-motivation-behavioral skills(IMB)model on self-efficacy and mental resilience of Duchenne muscular dystrophy(DMD)patients.Methods There were 112 cases of Duchenne muscular dystrophy patients admitted to wards in our hospital from January 2019 to January 2021 were selected as the study objects.According to the principle of admission into two areas,and combined with the annual number of patients admitted to the hospital,they were divided into the observation group and the control group with 56 cases each according to different nursing methods.The control group received clinical routine nursing,and the observation group received painting intervention based on IMB model on the basis of control group.General Self-Efficacy Score(GSES score),Connor-Davison Resilience score(CD-RISC score),6 min walking test,10 m running time were compared between the two groups before and after intervention,and the differences in Genetic Quality of Life Inventory-74 Score(GQOL-74 score)were evaluated.Results Before intervention,there was no significant difference in CD-RISC score,GSES score and GQOL-74 score between two groups(P>0.05).After intervention,the CD-RISC score,GSES score and GQOL-74 score of 2 groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After intervention,6 min walking test and walking speed were slightly higher than before intervention,walking distance increased,observation group was higher than control group,10 m walking time decreased,observation group was lower than control group,the difference was statistically significant(P<0.05).Conclusion For patients with Duchenne muscular dystrophy,the clinical effect of painting intervention based on IMB model is positive,and compared with conventional clinical nursing intervention,this method could effectively improve the level of self-efficacy and mental resilience of DMD patients,alleviate disease progression,improve walking function,and further improve their quality of life.