摘要
目的评价基于信息-动机-行为(Information-motivation-behavior,IMB)技巧模型的慢性心力衰竭患者护理干预效果,为慢性心力衰竭的护理干预提供合理对策。方法采取方便抽样方法选取2021年3月—2022年2月收治的220例慢性心力衰竭患者为研究对象,采用随机数字表法对其分组,各110人;对照组实施常规护理干预,观察组在对照组基础上实施基于IMB技巧模型的护理干预,干预周期为6个月,采用独立样本t检验(配对t检验)对比2组干预前后的6 min步行距离、自护行为评分和生活质量。结果干预前,2组慢性心力衰竭患者的6 min步行距离、自护行为评分和生活质量得分差异无统计学意义,具有可比性(P>0.05)。干预后,观察组慢性心力衰竭患者的6 min步行距离、自护行为总分和生活质量得分分别为(364.36±28.47)m、(88.43±5.20)分和(50.87±10.88)分,均优于对照组(298.14±62.36)m、(80.64±4.69)分和(57.39±13.69)分,且均高于干预前,差异具有统计学意义(P<0.05)。结论基于IMB技巧模型的护理干预应用于慢性心力衰竭患者中可明显改善并提高患者6 min步行距离和自护行为,同时提高了患者的生活质量。
Objective To investigate the effect of nursing intervention based on Information-Motivation-Behavior(IMB)techniques model for patients with chronic heart failure(CHF)and provide reasonable countermeasures for nursing intervention in CHF.Methods A total of 220 patients with CHF admitted to our hospital from March 2021 to February 2022were selected as study subjects using a convenient sampling method.They were randomly divided into two groups using a random number table,with 110 patients in each group.The control group received conventional nursing care,while the observation group received nursing intervention based on IMB techniques model in addition to conventional care.The intervention period was 6 months.The 6-minute walk test score,self-care behavior score,and quality of life score of two groups were compared before and after the intervention by using independent-samples t-tests(paired t-tests).Results Before intervention,there were no statistically significant differences in scores of 6-minute walk test,self-care behavior,and quality of life between the two groups of CHF patients(P>0.05).After intervention,the scores of 6-minute walk test,self-care behavior,and quality of life in observation group were(364.36±28.47)m,(88.43±5.20)points,and(50.87±10.88)points,respectively,which were all significantly higher than those in the control group(298.14±62.36)m,(80.64±4.69)points,and(57.39±13.69)points,respectively.These scores were also higher than those before the intervention in observation group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on IMB techniques model could significantly improve and enhance the 6-minute walk test distance and self-care behavior of patients with CHF,and it also improves their quality of life.
作者
杨学青
郭宇飞
刘慧娟
王莉莉
党照华
靳亚宁
王承竹
YANG Xue-qing;GUO Yu-fei;LIU Hui-juan;WANG Li-li;DANG Zhao-hua;JIN Ya-ning;WANG Chengzhu(Cardiology Department,People's Liberation Army of China Rocket Force Characteristic Medical Center,Beijing 100088,China)
出处
《中国健康教育》
北大核心
2024年第8期758-761,共4页
Chinese Journal of Health Education
关键词
慢性心力衰竭
信息-动机-行为技巧模型
护理干预
Chronic heart failure
Information-Motivation-Behavior(IMB)techniques model
Nursing intervention
