摘要
目的探讨基于信息-动机-行为技巧模型(IMB)的出院准备计划对炎症性肠病患者自我管理能力的影响。方法选取2019年8月—2020年8月炎症性肠病患者104例,按组间基本特征匹配原则分为观察组和对照组,每组52例。对照组行常规护理随访指导,观察组实施基于IMB模型的出院准备计划,比较两组干预前后自我管理能力、用药依从性、预后情况及生活质量。结果干预后,观察组健康自我管理能力测定量表(AHSMSRS)评分、Morisky用药依从性量表评分及生活质量总评分较对照组明显提高,差异有统计学意义(P<0.05),而观察组干预后炎症性肠病患者症状群总评分明显低于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的出院准备计划能有效提高炎症性肠病患者出院后自我管理能力及用药依从性,从而减轻患者肠道症状,改善患者生活质量。
Objective To investigate the effect of discharge preparation plan based on information motivation behavior skills model(IMB) on self-management ability of patients with inflammatory bowel disease.Methods From August 2019 to August 2020,104 patients with inflammatory bowel disease were selected and divided into observation group and control group according to the principle of basic feature matching between groups,with 52 patients in each group.The control group received routine nursing follow-up guidance,the observation group implemented discharge preparation plan based on IMB model.Self-management ability,medication compliance,prognosis and quality of life of the two groups were compared before and after intervention.Results After intervention,the Rating Scale of Health Self-management Skill for Adults(AH SM SR S) score,Morisky Medication Compliance Scale score and total quality of life score in the observation group were significantly higher than the control group,the difference was statistically significant(P<0.05),while symptom group total score in the observation group was significantly lower than the control group(P<0.05).Conclusion Discharge preparation plan based on IMB model could effectiyely improve self-management ability and medication compliance of patients with inflammatory bowel disease after discharge,thus reducing intestinal symptoms and improving patients’ quality of life.
作者
梁蒙蒙
王颖
樊慧丽
孟莹莹
梁梦欣
冯芹芹
蒋明珠
施雨
LIANG Mengmeng;WANG Ying;FAN Huili;MENG Yingying;LIANG Mengxin;FENG Qinqin;JIANG Mingzhu;SHI Yu(Affi liated Hospital of Xuzhou Medical University,Xuzhou,221000,China)
出处
《护理实践与研究》
2022年第3期398-402,共5页
Nursing Practice and Research
关键词
IMB模型
出院准备计划
炎症性肠病
自我管理能力
用药依从性
肠道症状
IMB model
Discharge preparation plan
Infl ammatory bowel disease
Self-management ability
Medication compliance
Intestinal symptoms
