摘要
目的研究基于信息-动机-行为技巧模型(IMB)的知信行健康宣教及护理在消化性溃疡合并上消化道出血患者中的应用效果。方法选择2021年3月至2022年10月安徽省安庆市立医院接受治疗的患者82例,根据随机数字表法将其分为对照组与观察组,各41例。对照组采用常规知信行宣教及护理进行干预,观察组在对照组的基础上给予基于IMB模型的知信行宣教及护理。比较两组干预前与出院1个月后药物依从性、疾病不确定感、自我效能。结果出院后1个月,两组依从性得分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。出院后1个月,两组疾病不确定感各项得分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。出院后1个月,两组自我效能得分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的知信行健康宣教及护理,能够有效提高消化性溃疡合并上消化道出血患者的治疗效果,值得推广运用。
Objective To study the application effect of knowledge-attitude-belief-practive and nursing based on information-motivation-behavioral(IMB)skill model in patients with peptic ulcer complicated with upper gastrointestinal bleeding.Methods A total of 82 patients who received treatment at Anqing Municipal Hospital in Anhui Province from March 2021 to October 2022 were selected,according to random number table method,patients were divided into control group and observation group,with 41 patients in each group.The control group received conventional knowledge-attitude-belief-practive and nursing intervention,and the observation group received IMB model-based knowlodge-attitude-belief-practive and nursing on the basis of the control group.Medication compliance,disease uncertainty,and self-efficacy were compared between the two groups before intervention and one month after discharge.Results One month after discharge,the compliance scores of both groups were higher than those before intervention,and the study group was higher than the control group,the differences were statistically significant(P<0.05).One month after discharge,the scores of disease uncertainty in both groups were significantly decreased,and the observation group was significantly lower than that of the control group,the differences were statistically significant(P<0.05).One month after discharge,the self-efficacy scores of both groups were higher than before intervention,and the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion Knowledge-attitude-belief-practive based on IMB model can effectively improve the therapeutic effect of patients with peptic ulcer complicated with upper gastrointestinal bleeding,and it is worth promoting and applying.
作者
夏玲玲
杨燕
王平方
朱群英
朱永芳
XIA Lingling;YANG Yan;WANG Pingfang;ZHU Qunying;ZHU Yongfang(Department of Gastroenterology,Anqing Municipal Hospital,Anhui Province,Anqing 246000,China)
出处
《中国医药导报》
CAS
2024年第1期185-189,共5页
China Medical Herald
关键词
消化性溃疡
上消化道出血
信息-动机-行为技巧模型
知信行宣教
应用效果
自我效能感评分
Peptic ulcer
Upper gastrointestinal bleeding
Information-motivation-behavioral skill model
Knowledgeattitude-belief-practive
Application effect
Self-efficacy score
