摘要
目的:探讨信息—动机—行为技巧模型(Information-Motivation-BehavioralSkillsModel,IMB)护理对胫骨骨折患者术后生活质量各维度评分、Barthel指数及踝—后足(AOFAS)评分的影响。方法:选取漯河市中心医院2018年1月—2019年10月收治的80例胫骨骨折患者作为研究对象,按照随机数字表法分成观察组和对照组,每组各40例。对照组采取常规护理,观察组采取IMB模型护理,观察两组患者的术后生活质量各维度评分、Barthel指数及AOFAS评分。结果:与对照组相比,观察组各方面的生活质量评分明显更高,差异有统计学意义(t=5.415、6.423、5.646、4.566、4.422,P<0.05)。两组患者在入院前、出院时Barthel指数评分差异无统计学意义(P>0.05),在出院后1个月、出院后3个月观察组Barthel指数评分明显高于对照组,差异有统计学意义(t=7.215、8.514,P<0.05)。两组患者在入院前、出院时AOFAS评分差异无统计学意义(P>0.05),在出院后1个月、出院后3个月观察组Barthel指数评分明显高于对照组,差异有统计学意义(t=6.413、7.432,P<0.05)。结论:IMB模型护理可以明显提高胫骨骨折患者的生活质量,提高患者的独立生活能力,改善其踝关节能力,值得临床推广。
Objective: To explore the effect of Information-Motivation-Bahavioral Skills Model(IMB) model nursing on the scores of postoperative quality of life, Barthel index and AOFAS score in patients with tibial fracture. Methods: 80 patients with tibia fractures admitted to the hospital from January 2018 to October 2019 were enrolled in the study. They were divided into observation group and control group according to random number method, with 40 cases in each. The control group was treated with routine care, and the observation group was treated with IMB model nursing. The postoperative quality of life scores, Barthel index and AOFAS scores of the two groups were observed. Results: Compared with the control group, the quality of life scores of the observation group were significantly higher in all aspects, the difference was statistically significant(t=5.415, 6.423, 5.646, 4.566,4.422, P<0.05). There was no statistically significant difference in the Barthel index of the observation group before and after discharge(P>0.05). The Barthel index score was significantly lower 1 month after discharge and 3 months after discharge, and the difference was statistically significant(t=7.215, 8.514, P<0.05). There was no statistically significant difference in the AOFAS score of the observation group before admission and at discharge(P>0.05). The AOFAS score was significantly lower at 1 month after discharge and 3 months after discharge, and the difference was statistically significant(t=6.413, 7.432, P<0.05). Conclusion: IMB model nursing can significantly improve the quality of life of patients with tibia fractures, improve their independent living ability, improve ankle joint ability, and is worthy of clinical promotion.
作者
李琳
LI Li(Department of Traumatology and Orthopedics,Luohe Central Hospital,Luohe,Henan,462000,China)
出处
《黑龙江医学》
2021年第24期2659-2661,共3页
Heilongjiang Medical Journal
