摘要
目的探讨基于信息-动机-行为技巧(IBM)模型的护理干预在支气管哮喘患者中的应用效果。方法选取2016年10月至2017年10月本院收治的110例支气管哮喘患者作为研究对象,随机将其等分为观察组与对照组,对照组行常规健康宣教,观察组在对照组基础上给予基于IBM模式的健康教育,干预时间为3个月,比较干预后两组患者自我效能、遵医行为、肺功能及生活质量改善情况。结果护理干预后,观察组患者自我效能、遵医行为评分均高于对照组(P<0.05),6min步行距离(6MWD)、第1秒用力呼气容积占预计肺活量(FEV1/FVC)、最大自主通气量(MVV)较对照组均明显改善(P<0.05),生活质量中的症状、活动、影响评分均明显低于对照组(P<0.05)。结论基于IMB模型的护理干预能有效提高支气管哮喘患者自我效能及遵医行为,改善其肺功能,提高生活质量,值得临床推广应用。
Objective To investigate the application effect of nursing intervention based on information-motivation-behavioral(IBM)model in patients with bronchial asthma.Methods To select 110 patients with bronchial asthma who were admitted to our hospital from October 2016 to October 2017 as the study subjects.They were divided into observation group and control group with the same number of patients randomly.The control group was given routine health education,while on the basis of this,the observation group was given health education based on IMB model.The intervention time was 3 months for both groups.We compared the self-efficacy,compliance behavior,lung function and quality of life improvement of the two groups after the intervention.Results After the nursing intervention,the self-efficacy and compliance behavior scores of the observation group were higher than those of the control group(P<0.05).The 6-min walking distance(6MWD),the ratio of forced expiratory volume in one second in forced vital capacity(FEV 1/FVC),and the maximal voluntary ventilation(MVV)were significantly improved compared with those in the control group(P<0.05).The scores of symptoms,activities,and impact in the quality of life were significantly lower than that of the control group(P<0.05).Conclusion The nursing intervention based on IMB model can improve the self-efficacy and compliance behavior of patients with bronchial asthma effectively.Meanwhile,it can improve their lung function and quality of life,which was worthy of clinical promotion and application.
出处
《护理实践与研究》
2019年第10期25-27,共3页
Nursing Practice and Research
