摘要
目的探讨基于信息-动机-行为技巧(IMB)模型的医疗人文关怀联合健康教育对冠心病稳定型心绞痛患者自我效能感的影响,并分析其临床应用价值。方法本研究选取2021年8月至2022年7月期间于长沙市第一医院行经皮冠状动脉介入治疗(PCI)的冠心病稳定型心绞痛患者120例作为研究对象,采用随机数表法将其分为对照组(实施常规护理联合健康教育,n=60)与观察组(实施基于IMB模型的医疗人文关怀联合健康教育,n=60)。对患者分别于实施干预前、干预后2个月、6个月及12个月,评估其自我效能感、自我管理能力及焦虑抑郁状况。结果观察组干预后2个月、6个月、12个月的一般自我效能感量表(GSES)评分[(26.87±3.12)分、(32.89±3.61)分、(33.02±3.21)分]均明显高于对照组[(21.97±2.99)分、(25.01±3.24)分、(25.68±3.16)分](P<0.05)。观察组干预后6个月、12个月的冠心病自我管理量表(CSMS)不同项目评分均明显高于对照组(P<0.05);观察组干预后12个月的焦虑自评量表评分(35.21±3.91)分与抑郁自评量表评分(34.08±3.89)分均明显低于对照组[(46.23±4.05)分、(45.66±3.89)分](P<0.05)。结论基于IMB模型的医疗人文关怀联合健康教育有助于提升冠心病稳定型心绞痛患者的自我效能感,并有效地缓解其负性情绪,具有较好的应用前景。
【Objective】To explore the effect of medical humanistic care combined with health education based on the information-motivation-behavioral skills(IMB)model on self-efficacy of patients with stable angina pectoris of coronary heart disease,and analyze its clinical application value.【Methods】In this study,120 patients with stable angina pectoris who underwent percutaneous coronary intervention(PCI)were selected as research subjects.They were divided into control group(routine nursing combined with health education,n=60)and observation group(medical humanistic care combined with health education based on the IMB model,n=60)by random number table method.Self-efficacy,self-management ability and anxiety and depression were assessed before and 2,6 and 12 months after the intervention.【Results】The General Self-Efficacy Scale(GSES)scores of the observation group(26.87±3.12,32.89±3.61,33.02±3.21)at 2 months,6 months and 12 months after intervention were significantly higher than those of the control group(21.97±2.99,25.01±3.24,25.68±3.16).The difference was statistically significant(P<0.05).The scores of Coronary Artery Disease Self-Management Scale(CSMS)at 6 and 12 months after intervention were significantly higher in the observation group compared with the control group(P<0.05).Moreover,the scores of Anxiety Rating Scale(35.21±3.91)and Depression Rating Scale(34.08±3.89)in the observation group were significantly lower than those in the control group(46.23±4.05,45.66±3.89),with a statistically significant difference(P<0.05).【Conclusion】The application of medical humanistic care based on the IMB model combined with health education can improve the self-efficacy of patients with stable angina pectoris of coronary heart disease,and effectively relieve their negative emotions,indicating a promising application prospect.
作者
龚中元
GONG Zhongyuan(Department of Cardiology,Changsha First Hospital,Changsha,Hunan 410005,China)
出处
《中国医学工程》
2023年第9期30-36,共7页
China Medical Engineering
关键词
信息-动机-行为技巧模型
自我效能
负性情绪
健康教育
information-motivation-behavioral skills model
self-efficacy
negative emotions
health education
