摘要
目的:观察信息-动机-行为(IMB)护理在子宫切除术后患者中的应用效果。方法:选取76例择期子宫切除术后患者为研究对象,按照随机数字表法分为研究组与对照组各38例。对照组实施常规护理,研究组在对照组基础上实施IMB护理,比较两组盆底肌力、尿失禁发生率及分度、锻炼依从率和生命质量综合评定问卷(GQOLI-74)评分。结果:护理后,研究组盆底肌力分级优于对照组,差异有统计学意义(P<0.05);研究组尿失禁发生率为10.53%,低于对照组的31.58%,差异有统计学意义(P<0.05);两组尿失禁分度比较,差异无统计学意义(P>0.05);研究组锻炼总依从率为92.11%,高于对照组的71.05%,差异有统计学意义(P<0.05);护理后,两组GQOLI-74评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上应用IMB护理可提高子宫切除术后患者盆底肌力、锻炼总依从率和生命质量评分,以及降低尿失禁发生率,效果优于单纯常规护理。
Objective: To observe effects of information-motivation-behavior(IMB) nursing in patients after hysterectomy. Methods: 76 patients after elective hysterectomy were selected as the research objects, and were divided into study group and control group according to the random number table method, 38 cases in each. The control group was given routine nursing, while the study group was given IMB nursing on the basis of that of the control group. The pelvic floor muscle strength, the incidence and classification of urinary incontinence, the exercise compliance rate and the general quality of life inventory(GQOLI-74) scores were compared between the two groups. Results: After the nursing, the pelvic floor muscle strength classification of the study group was better than that of the control group, and the difference was statistically significant(P<0.05). The incidence of urinary incontinence in the study group was 10.53%, which was lower than 31.58% in the control group, and the difference was statistically significant(P<0.05). There was no significant difference in urinary incontinence graduation between the two groups(P>0.05). The total exercise compliance rate in the study group was 92.11%, which was higher than the control group of 71.05%, and the difference was statistically significant(P<0.05). Further, after the nursing, the GQOLI-74 scores of the two groups were higher than those before the nursing, that of the study group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusions: The application of IMB nursing on the basis of the routine nursing can improve the pelvic floor muscle strength, the exercise compliance rate and the quality of life score, and reduce the incidence of urinary incontinence in the patients after hysterectomy. Moreover, it is superior to simple routine nursing.
作者
张彦遵
张漫丽
董会永
ZHANG Yanzun;ZHANG Manli;DONG Huiyong(Nursing Department,Zhumadian Central Hospital,Zhumadian 463000 Henan,China;Women’s Health Department,Zhumadian Central Hospital,Zhumadian 463000 Henan,China)
出处
《中国民康医学》
2022年第8期177-179,183,共4页
Medical Journal of Chinese People’s Health
关键词
子宫切除术
信息-动机-行为
护理
盆底肌力
生命质量
尿失禁
Hysterectomy
Information-motivation-behavior
Nursing
Pelvic floor muscle strength
Quality of life
Urinary incontinence
