首页|基于IMB模型构建的护理干预对慢性精神分裂症患者自我管理能力和生活质量的影响

基于IMB模型构建的护理干预对慢性精神分裂症患者自我管理能力和生活质量的影响

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目的 分析基于信息-动机-行为技巧模型(Information-Motivation-Behavioral Skills Model,IMB)所建立的护理干预对慢性精神分裂症患者的临床应用价值.方法 随机选取2022年1月—2023年12月南京市佑安医院收治的100例慢性精神分裂症患者为研究对象.将4个同质的精神科病区进行编号,用抛硬币的方式随机选择1个男病区和1个女病区为观察组,另外两个为对照组,各50例.对照组采取常规健康教育,观察组基于IMB模型构建护理干预.对比两组护理后自我管理能力和生活质量评分.结果 观察组自我管理能力评分高于对照组,差异有统计学意义(P<0.05).观察组生活质量量表评分中心理社会(20.09±4.16)分、精力/动机(19.54±3.96)分、精力/症状(22.16±5.13)分均低于对照组,差异有统计学意义(t=4.470、7.093、5.172,P均<0.05).结论 基于IMB模型构建的护理干预能够针对性地提高患者的自我管理能力和生活质量.
The Impact of Nursing Interventions Based on the IMB Model on Self-management Ability and Quality of Life in Patients with Chronic Schizo-phrenia
Objective To analyze the nursing effect of nursing intervention based on Information-Motivation-Behavioral Skills Model(IMB)for patients with chronic schizophrenia.Methods A total of 100 patients with chronic schizophrenia who were treated in Nanjing You'an Hospital from January 2022 to December 2023 were randomly se-lected as the study objects.Four homogeneous psychiatric wards were numbered,and one male ward and one female ward were randomly selected by coin toss as observation group and the other two as control group,with 50 cases each.The control group received routine health education,and the observation group received nursing intervention based on IMB model.Self-management ability and quality of life scores after nursing intervention were compared between the two groups.Results The self-management ability score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The scores of psychosocial score(20.09±4.16)points,energy/motivation score(19.54±3.96)points and energy/symptom score(22.16±5.13)points in observation group were lower than those in control group,and the differences were statistically significant(t=4.470,7.093,5.172,all P<0.05).Conclusion Nursing intervention based on IMB model can improve patients'self-management ability and quality of life.

Chronic schizophreniaNursing interventionInformation-Motivation-Behavior skills modelSelf-management abilityQuality of life

邹金周、陈惠萍

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南京市佑安医院精神一科四病区,江苏 南京 211122

慢性精神分裂症 护理干预 信息-动机-行为技巧模型 自我管理能力 生活质量

南京市卫生科技发展专项资金项目

YKK21241

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)