[1]李冬兰,陈高飞.基于信息-动机-行为技巧模型的护理干预在行冠状动脉旁路移植术患者中的应用效果[J].新乡医学院学报,2023,40(6):569-573.[doi:10.7683/xxyxyxb.2023.06.013]
　LI Donglan,CHEN Gaofei.Application effect of nursing intervention based on information-motivation-behavioral skills model in patients undergoing coronary artery bypass grafting[J].Journal of Xinxiang Medical University,2023,40(6):569-573.[doi:10.7683/xxyxyxb.2023.06.013]
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基于信息-动机-行为技巧模型的护理干预在行冠状动脉旁路移植术患者中的应用效果
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
40卷
期数:
2023年6
页码:
569-573
栏目:
护理研究
出版日期:
2023-06-05

文章信息/Info

Title:
Application effect of nursing intervention based on information-motivation-behavioral skills model in patients undergoing coronary artery bypass grafting
作者:
李冬兰1; 陈高飞2
（1.河南省直第三人民医院心外科，河南　郑州　450006；2.河南省直第三人民医院护理部，河南　郑州　450006）
Author(s):
LI Donglan1; CHEN Gaofei2
(1.Department of Cardial Surgery,the Third People′s Hospital of Henan Province,Zhengzhou 450006,Henan Province,China;2.Department of Nursing,the Third People′s Hospital of Henan Province,Zhengzhou 450006,Henan Province,China)
关键词:
冠状动脉旁路移植术; 护理; 信息-动机-行为技巧模型; 健康促进行为; 生活质量
Keywords:
coronary artery bypass grafting; nursing; information-motivation-behavioral skills model; health-promoted behavior; quality of life
分类号:
R473.6
DOI:
10.7683/xxyxyxb.2023.06.013
文献标志码:
A
摘要:
目的　探讨基于信息-动机-行为技巧（IMB）模型的护理干预对冠状动脉旁路移植术（CABG）后冠状动脉粥样硬化性心脏病（CAHD）患者健康促进行为、自我护理能力及生活质量的影响。方法　选择2020年1月至2020年12月河南省直第三人民医院收治的85例CAHD患者为研究对象，按照随机数字表法将患者分为观察组（n=43）和对照组（n=42）。所有患者行CABG，观察组患者给予基于IMB模型的护理干预，对照组患者接受常规护理干预，干预时间为3个月。干预前和干预3个月后，采用健康促进生活方式量表-Ⅱ（HPLP-Ⅱ）评估患者的健康促进行为水平，采用自我护理能力测定量表（ESCA）评估患者的自我护理能力，采用中国心血管病人生活质量评定问卷（CQQC）评估患者的生活质量；对干预前后2组患者的健康促进行为、自我护理能力及生活质量进行比较。结果　干预前2组患者HPLP-Ⅱ总分及各维度评分比较差异均无统计学意义（P>0.05），2组患者干预后HPLP-Ⅱ总分及各维度评分显著高于干预前（P<0.05）；干预后，观察组患者HPLP-Ⅱ总分及各维度评分显著高于对照组（P<0.05）。干预前2组患者ESCA总分及各维度评分比较差异均无统计学意义（P>0.05），2组患者干预后ESCA总分及各维度评分显著高于干预前（P<0.05）；干预后，观察组患者ESCA总分及各维度评分显著高于对照组（P<0.05）。干预前2组患者CQQC总分及各维度评分比较差异均无统计学意义（P>0.05），2组患者干预后CQQC总分及各维度评分显著高于干预前（P<0.05）；干预后，观察组患者CQQC总分及各维度评分显著高于对照组（P<0.05）。结论　基于IMB模型的护理干预可提高CAHD患者的自我护理能力、健康促进行为水平及生活质量。
Abstract:
Objective　To investigate the effect of nursing intervention based on information-motivation-behavioral skills (IMB) model on the health-promoted behavior,self-care ability and quality of life in patients with coronary atherosclerotic heart disease (CAHD) after coronary artery bypass grafting (CABG).Methods　A total of 85 patients with CAHD admitted to the Third People′s Hospital of Henan Province from January 2020 to December 2020 were selected as the research subjects,and the patients were divided into the observation group (n=43) and the control group (n=42) according to the random number table method.All patients underwent CABG.The patients in the observation group received nursing intervention based on the IMB model,and the patients in the control group received routine nursing intervention for three months.Before and three months after the intervention,the health-promoted behavior of the patients was evaluated by the health promoting lifestyle profile-Ⅱ (HPLP-Ⅱ),the self-care ability of the patients was evaluated by the exercise of self-care agency scale (ESCA),and the quality of life of the patients was evaluated by the Chinese questionnaire of quality of life in patients with cardiovascular diseases (CQQC).The health-promoted behavior,self-care ability and quality of life of patients were compared between the two groups before and after the intervention.Results　There was no significant difference in the total score and the each dimension score of HPLP-Ⅱ between the two groups before intervention (P>0.05).The total score and the each dimension score of HPLP-Ⅱ of patients after intervention were significantly higher than those before intervention in the two groups (P<0.05).The total score and the each dimension score of HPLP-Ⅱ of patients in the observation group were significantly higher than those in the control group after intervention (P<0.05).There was no significant difference in the total score and each dimension score of ESCA between the two groups before intervention (P>0.05).The total score and the each dimension score of ESCA of patients after intervention were significantly higher than those before intervention in the two groups (P<0.05).The total score and the each dimension score of ESCA of patients in the observation group were significantly higher than those in the control group after intervention (P<0.05).There was no significant difference in the total score and each dimension score of CQQC between the two groups before intervention (P>0.05).The total score and the each dimension score of CQQC of patients after intervention were significantly higher than those before intervention in the two groups (P<0.05).The total score and the each dimension score of CQQC of patients in the observation group were significantly higher than those in the control group after intervention (P<0.05).Conclusion　Nursing intervention based on the IMB model can improve the self-care ability,health-promoted behavior level and quality of life of CAHD patients.

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更新日期/Last Update: 2023-06-05