摘要
目的研究基于信息-动机-行为技巧(IMB)模型的服药依从性策略构建对幽门螺杆菌感染患者的干预效果。方法采用前瞻性研究,以2022年1-4月在该院进行治疗的幽门螺杆菌感染患者200例作为研究对象,按随机数字表法将患者分为干预组和对照组,每组100例。对照组患者接受常规用药指导,干预组患者是在对照组的基础上接受基于IMB模型的健康教育,各组均干预2周。比较两组患者的服药依从性、健康促进生活方式量表评分、自我管理效能、焦虑及抑郁情绪评分、生命质量评分之间的差异。结果干预组患者的服药依从性明显优于对照组(Z=2.921,P<0.05)。干预前,两组患者健康促进生活方式量表各项评分比较,差异均无统计学意义(P>0.05)。干预后,两组患者的自我实现、健康责任、运动、营养、人际关系、压力应对评分以及总分均较干预前明显升高(P<0.05);且干预后干预组患者的自我实现、健康责任、运动、营养、人际关系、压力应对评分及总分均明显高于对照组(P<0.05)。干预前,两组患者自我管理效能各项评分比较,差异均无统计学意义(P>0.05)。干预后,两组患者营养、心理安逸、运动、健康责任评分及总分均较干预前升高(P<0.05);且干预后干预组患者的营养、心理安逸、运动、健康责任评分及总分均明显高于对照组(P<0.05)。干预前,两组患者的SAS、SDS评分比较,差异均无统计学意义(P>0.05)。干预后,两组患者的SAS、SDS评分均较干预前显著下降(P<0.05);且干预后干预组患者的SAS、SDS评分均明显低于对照组(P<0.05)。干预前,两组患者生命质量各项指标评分比较,差异均无统计学意义(P>0.05)。干预后,干预组患者生理功能、生理职能、躯体疼痛、一般健康、精力、社会功能、情感职能、心理健康评分及总分均明显高于对照组(P<0.05)。结论基于IMB模型的健康教育措施对于提高幽门�
Objective To investigate the intervention effect of medication compliance strategy construction based on information-motivation-behavioral skill(IMB) model on patients with Helicobacter pylori infection.Methods The prospective study was conducted,and 200 patients with Helicobacter pylori infection treated in this hospital from January to April 2022 were selected as the study subjects and divided into the intervention group and control group according to the random number table method,100 cases in each group.The patients in the control group received the routine medication guidance,while the patients in the intervention group received the health education based on the IMB model on the basis of the control group,and both groups were intervened for 2 weeks.The differences in medication adherence,Health Promotion Lifestyle Scale scores,self-management efficacy,anxiety and depression emotion scores,and quality of life scores were compared between the two groups.Results The medication adherence in the intervention group was significantly better than that in the control group(Z=2.921,P<0.05).Before intervention,there was no statistically significant differences in the scores of the Health Promotion Lifestyle Scale between the two groups(P>0.05).After intervention,the scores of self actualization,health responsibility,exercise,nutrition,interpersonal relationships,stress coping and total score in both groups were significantly higher than those before intervention(P<0.05);moreover,the scores of self actualization,health responsibility,exercise,nutrition,interpersonal relationships,stress coping and total score after intervention in the intervention group were significantly higher than those in the control group(P<0.05).Before intervention,there were no statistically significant differences in self-management efficacy scores between the two groups(P>0.05).After intervention,the scores of nutrition,psychological comfort,exercise,health responsibility and total score in both groups were higher than those before intervention
作者
史思文
王洋
黎晓琴
何菁
赵书博
SHI Siwen;WANG Yang;LI Xiaoqin;HE Jing;ZHAO Shubo(Department of Gastroenterology,Affiliated Beijing Millennium Monument Hospital of Capital Medical University,Beijing 100038,China;Department of Nursing,Affiliated Beijing Millennium Monument Hospital of Capital Medical University,Beijing 100038,China)
出处
《检验医学与临床》
2024年第6期813-819,共7页
Laboratory Medicine and Clinic
基金
首都医科大学附属北京世纪坛医院青年基金项目(2020-q22)。
关键词
幽门螺杆菌
健康教育
信息-动机-行为技巧模型
自我管理
依从性
Helicobacter pylori
health education
information-motivation-behavior skills model
self management
compliance
