Objective: To explore the application effect of information-motivation-behavioral skills model(IMB model) on respiratory function exercise in patients with COPD disease, and provide new ideas for improving health education.Methods: 98 cases of COPD hospitalized patients were randomly selected and divided into control group (48 cases) and observation group (50 cases) according to the time of admission. The control group received routine care and health education, on top of which, IMB model-based nursing interventions were provided in the observation group. The knowledge of COPD when discharged, the compliance of respiratory function exercise and the life quality after discharged 1 and 3 months were compared.Results: At the time of discharge, the scores of patients with knowledge of COPD in the observation group were higher than that in the control group; 1 and 3 months after discharge, the compliance of respiratory function exercise in the observation group was higher than that in the control group. The score of the chronic obstructive pulmonary disease evaluation test(CAT) in the observation group was lower than that of the control group at the time of 1 and 3 months after discharge, and the difference is statistically significant(P<0.05). Conclusion: IMB model-based interventions can enhance patients' knowledge of COPD and rehabilitation compliance, improve patients' life quality. |
[1] 谭春苗,周向东,陈海燕,等.呼吸指导小组对慢性阻塞性肺疾病患者呼吸康复锻炼依从性的影响[J].广东医学,2016,37(20):3146-3148.
[2] DAL NEGRO R W,BONADIMAN L,BRICOLO F P,et al.Cognitive dysfunction in severe chronic obstructive pulmonary disease (COPD) with or without Long-Term Oxygen Therapy (LTOT)[J].Multidiscip Respir Med,2015,10(1):113-119.
[3] 黄仕明,李江旭,王秋梅,等.健康信念模式教育对COPD患者疾病认知与呼吸功能锻炼依从性的影响[J].重庆医学,2013,42(10):1136-1138.
[4] KUDO Y.Effectiveness of a condom use educational program developed on the basis of the Information-Motivation-Behavioral Skills model[J].Jpn J Nurs Sci,2013,10(1):24-40.
[5] 李捷,杨连招,陈玲,等.基于IMB模型的电话短信教育应用于社区老年高血压病人自我效能的干预研究[J].护理研究,2016,30(11):3893-3897.
[6] 张俊霞.IMB模型健康教育对支气管哮喘患者自我管理行为及肺功能的影响[J].社区医学杂志,2018,16(6):85-86.
[7] MAYBERRY L,OSBORN C.Empirical validation of the information-motivation-behavioral skills model of diabetes medication adherence:a framework for intervention[J].Diabetes Care,2014,37(5):1246-1253.
[8] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264.
[9] 蔡睿,侯刚,王秋月,等.慢性阻塞性肺疾病评估测试对生存质量的评估价值研究[J].中国实用内科杂志,2011,31(11):847-849.
[10] 欧阳怡,黄欢.基于信息-动机-行为技巧模型的护理干预对慢性阻塞性肺疾病患者吸入给药装置依从性的影响[J].现代中西医结合杂志,2017,26(20):2265-2268.
[11] 赵越,邵勇,徐心怡,等.苏南发达地区农村老年人免费体检依从性调查[J].东南大学学报(医学版),2016,35(5):727-730.
[12] TUCCERO D,RAILEY K,BRIGGS M,et al.Behavioral health in prevention and chronic illness management:motivational interviewing[J].Prim Care,2016,43(2):191-202.
[13] 左秀萍.基于信息-动机-行为技巧模型的护理干预对AECOPD患者生活质量的影响[J].河北医药,2017,39(20):3187-3191.
[14] 司树梅,王银萍,吴艳红.基于信息-动机-行为技巧模型的运动康复干预在慢性阻塞性肺疾病患者中的应用效果[J].中国临床护理,2018,10(2):113-116.
[15] 区燕云,梁霞英,陈燕玲,等.以家庭为基础的信息-动机-行为技巧管理模式在COPD患者随访管理中的运用[J].中国医药导报,2016,13(4):164-167. |
