摘要
目的:探讨基于信息-动机-行为技巧模型的护理干预对促进食管癌术后快速康复的作用。方法:选取2015年4月~2016年12月我院收治的食管癌手术患者150例,并将其随机等分为干预组和对照组,对照组实施常规康复护理;干预组在对照组基础上采取基于信息-动机-行为技巧模型的护理干预。比较两组患者术后恢复指标、营养状况、生活质量、自我管理效能感及并发症发生情况。结果:干预组肠蠕动时间、进食时间、下床活动时间、住院时间均较对照组短(P<0.05),住院费用少于对照组(P<0.05);干预组术后血清白蛋白、前白蛋白、转铁蛋白及体质量检测值均较对照组高(P<0.05);干预组生活质量各维度评分及自我管理效能感评分均较对照组高(P<0.05),并发症发生率较对照组低(P<0.05)。结论:基于信息-动机-行为技巧模型的护理干预,可有效改善食管癌手术患者术后恢复指标,提高自我管理效能及生活质量,并降低并发症发生风险,有利于患者康复。
Objective： To explore the effect of nursing intervention on rapid rehabilitation after esophageal cancer surgery based on information-motivation-behavioral skill model. Methods： A total of 150 patients with esophageal cancer from April 2015 to December 2016 admitted to our hospital were selected and randomly and equally divided into intervention group and control group. The control group received conventional rehabilitation nursing; the intervention group received nursing intervention based on information-motivation-behavioral skill model combined with conventional nursing. The postoperative recovery index,nutritional status,quality of life,self-management efficacy and complications were compared between the two groups. Results： The peristalsis time,eating time,ambulation time and length of stay in the intervention group was shorter than that in the control group（ P 〈 0. 05）,the hospitalization cost was less than that in the control group（ P 〈 0. 05）; after operation,the serum albumin,prealbumin,transferrin and body mass detection value in the intervention group were higher than those in the control group（ P 〈 0. 05）; the scores of life quality in all dimensions and score of self-management efficacy were higher in the intervention group were higher than those in the control group（ P 〈 0. 05）,and the complication rate was lower than that in the control group（ P 〈 0. 05）. Conclusion： The nursing intervention based on the information-motivation-behavioral skill model can effectively improve postoperative recovery indicators of patients with esophageal cancer,enhance the quality of life and self-management efficacy,and reduce the risk of complications,so it is conducive to the rehabilitation of patients.
出处
《护理实践与研究》
2017年第21期4-7,共4页
Nursing Practice and Research
关键词
信息-动机-行为技巧模型
食管癌
自我管理效能
并发症
康复
Information-motivation-behavioral skill model
Esophageal cancer
Self-management efficacy
Complications
rehabilitation
