摘要
目的探讨基于信息-动机-行为技巧(IMB)模型的早期活动方案对食管贲门癌术后患者早期康复进程的影响。方法选取2021年8月至2024年8月在周口市中心医院收治的98例食管贲门癌患者作为研究对象,根据干预方案不同分成对照组(术后常规护理)、观察组(基于IMB模型的早期活动方案)各49例。比较两组患者的康复相关指标、自我效能感、生活质量以及并发症发生情况。结果观察组首次排气时间、下床活动时间、经口进食时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。干预后,两组一般自我效能感量表(GSES)评分均升高,且观察组GSES评分高于对照组,差异均有统计学意义(P<0.05)。两组癌症患者干预后欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)各维度评分均升高,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率与对照组比较,差异无统计学意义(P>0.05)。结论基于IMB模型的早期活动方案能有效促进食管贲门癌术后患者早期的康复进程,提高患者的自我效能感和生活质量,值得临床应用。
Objective To explore the effects of an early activity program based on the Information-Motivation-Behavioral Skills(IMB)model on the early recovery processes of patients after esophageal cardiac cancer surgery.Methods A total of 98 patients with esophageal cardiac cancer treated at Zhoukou Central Hospital from August 2021 to August 2024 were selected as research subjects.They were divided into a control group(n=49,receiving routine postoperative care)and an observation group(n=49,receiving an early activity program based on the IMB model)based on different intervention plans.The recoveryrelated indicators,self-efficacy,quality of life,and incidence of complications were compared between the two groups.Results The observation group had shorter times for the first passage of gas,getting out of bed,oral feeding,and length of hospital stay compared to the control group,with all differences being statistically significant(P<0.05).After intervention,the General Self-Efficacy Scale(GSES)scores increased in both groups,with the observation group showing significantly higher GSES scores than the control group(P<0.05).The European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire(EORTC QLQ-C30)scores for various dimensions also increased post-intervention in both groups,with the observation group scoring higher than the control group(P<0.05).There was no significant difference in the incidence of complications between the observation group and the control group(P>0.05).Conclusion The early activity program based on the IMB model effectively promotes early recovery in patients after esophageal cardiac cancer surgery,enhancing self-efficacy and quality of life,making it worthy of clinical application.
作者
韩琴
娄爱丽
HAN Qin;LOU Aili(Department of Thoracic Surgery,Zhoukou Central Hospital,Zhoukou Henan 466000,China;Department of Cardiac and Vascular Surgery,Zhoukou Central Hospital,Zhoukou Henan 466000,China)
出处
《临床研究》
2025年第3期167-170,共4页
Clinical Research
关键词
信息-动机-行为技巧模型
早期活动
食管贲门癌
术后早期康复
护理
Information-Motivation-Behavioral Skills model
Early activity
Esophageal cardiac cancer
Postoperative early recovery
Nursing
