摘要
目的 分析基于信息-动机-行为技巧(IMB)模型护理干预对慢阻肺急性加重期(AECOPD)患者遵医行为及自护能力的影响。方法 选取2020年5月至2021年8月医院收治的78例AECOPD患者为研究对象,按照交替分组法将其分为对照组(n=39)和观察组(n=39)。对照组实施常规护理干预,观察组在此基础上实施基于IMB模型护理干预,两组均护理1周。比较两组护理1周后遵医行为,护理前及护理1周后自护能力[自我护理能力量表(ESCA)]及生活质量[COPD生活质量测评量表(CAT)]。结果 观察组总遵医行为率高于对照组,差异有统计学意义(P<0.05);护理1周后两组ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理1周后两组CAT评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论 基于IMB模型护理干预的实施,有效提高了AECOPD患者遵医行为及自护能力,有利于降低疾病对患者生活质量的影响。
Objective To analyze the effect of nursing intervention based on information-motive-behavior skills(IMB)model on compliance behavior and self-care ability of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods 78 AECOPD patients admitted to our hospital from May 2020 to August 2021 were selected as the study subjects,and they were divided into control group(n=39)and observation group(n=39)according to alternate grouping method.The control group received routine nursing intervention,and the observation group received nursing intervention based on IMB model for 1 week.The two groups were compared for compliance behavior after 1 week of nursing,self-care ability(ESCA)and quality of life(CAT)before and after 1 week of nursing.Results The total compliance rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After 1 week of nursing,ESCA scores in both groups were higher than before,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After 1 week of nursing,CAT scores in both groups were lower than before,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of nursing intervention based on IMB model can effectively improve the compliance behavior and self-care ability of PATIENTS with AECOPD,which is conducive to reduce the influence of the disease on the quality of life of patients.
作者
凌珊珊
吴仁枝
徐玲玲
彭乐兰
陈琳
LING Shanshan;WU Renzhi;XU Lingling;PENG Lelan;CHEN Lin(Department of Respiratory Medicine,Jiujiang First People's Hospital,Jiujiang 332000,China)
出处
《中国老年保健医学》
2022年第3期136-138,共3页
Chinese Journal of Geriatric Care
关键词
慢阻肺急性加重期
基于IMB模型护理
遵医行为
自护能力
acute exacerbation of COPD
Nursing based on IMB model
Compliance behavior
Since the nursing ability
