摘要
目的分析信息-动机-行为技巧模型(IMB)及思维导图模式下的全程护理干预在老年膀胱癌灌注化疗患者中的应用效果。方法选取本院2018年3月至2020年2月收治的老年膀胱癌灌注化疗患者88例,参照随机数字表法分成常规组与试验组,各44例。常规组予以常规护理干预,试验组基于常规组予以IMB及思维导图模式下的全程护理干预,两组均持续干预3个月。对比两组遵医行为及干预前、干预1个月、3个月心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、Spitzer生活质量指数(SQOLI)。结果试验组遵医行为较常规组显著升高[95.45%(42/44)比79.55%(35/44),P<0.05]。干预1个月、3个月,试验组SAS、SDS评分均较常规组低[干预1个月,(53.30±5.81)分比(59.03±5.46)分、(56.36±4.43)分比(62.34±4.26)分;干预3个月,(49.36±6.01)分比(55.10±6.83)分、(52.75±5.48)分比(58.36±5.13)分;均P<0.05]。干预1个月、3个月,试验组SQOLI评分较常规组高[(5.88±0.89)分比(4.97±0.81)分、(7.40±0.96)分比(5.81±1.02)分,均P<0.05]。结论IMB及思维导图模式下的全程护理干预应用于老年膀胱癌灌注化疗患者中,可有效改善其遵医行为,缓解其负性情绪,提高其生活质量。
Objective To analyze the effect of whole course nursing under information-motive-behavior(IMB)and mind map mode for elderly patients with bladder cancer undergoing perfusion chemotherapy.Methods Eighty-eight elderly bladder cancer patients taking perfusion chemotherapy at our hospital from March,2018 to February,2020 were selected and randomly divided into a conventional group and an experimental group,with 44 cases in each group.The conventional group was given routine nursing intervention,and the experimental group was given the whole course nursing intervention under the mode of IMB and mind map based on the conventional group.The two groups were intervened for 3 months continuously.The compliance behaviors,psychological status,including SDS and SAS,and Spitzer quality of life index(SQOLI)before and 1 and 3 months after the intervention were compared between the two groups.Results The compliance was significantly higher in the experimental group than in the conventional group[95.45%(42/44)vs.79.55%(35/44);P<0.05].One and three months after the interventions,the scores of SAS and SDS of the experimental group were lower than those of the conventional group[1 month after the intervention,(53.30±5.81)vs.(59.03±5.46)and(56.36±4.43)vs.(62.34±4.26);3 months after the intervention, (49.36±6.01) vs. (55.10±6.83) and (52.75±5.48) vs. (58.36±5.13);all P<0.05]. One and three months after intervention, the SQOLI scores of the experimental groupwere higher than those of the conventional group [(5.88±0.89) vs. (4.97±0.81) and (7.40±0.96) vs.(5.81±1.02);both P<0.05]. Conclusion The whole course nursing intervention under IMB andmind map mode for elderly patients with bladder cancer undergoing perfusion chemotherapy caneffectively improve their compliance behavior and quality of life, and relieve their negative emotions.
作者
原莎莎
Yuan Shasha(Fifth Department of Internal Medicine,Lankao County Central Hospital,Kaifeng 475300,China)
出处
《国际医药卫生导报》
2021年第1期122-125,共4页
International Medicine and Health Guidance News
关键词
信息-动机-行为技巧模型
思维导图模式
全程护理干预
老年膀胱癌
灌注化疗
Information-motive-behavior skill mode
Mind map mode
Whole course nursing intervention
Elderly patients with bladder cancer
Perfusion chemotherapy
