目的 探讨脑梗死(cerebral ischemic stroke,CIS)患者采用基于信息-动机-行为技巧(information-motivation-behavioral,IMB)模型进行康复护理取得的效果.方法 随机选取2022年8月—2023年7月山东省菏泽市中医医院收治的CIS患者90例为研究对象,依据不同护理方法分为对照组(45例)接受常规护理,研究组(45例)在对照组基础上采用基于IMB模型的康复护理.比较两组患者一般自我效能感量表(General Self Efficacy Scale,GSES)、自我护理能力量表(Exercise of Self-care Agency Scale,ESCA)、脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)评分及并发症发生率.结果 干预12周后,研究组GSES、ESCA评分高于对照组,差异均有统计学意义(P均<0.05).干预12周后,研究组SS-QOL评分为(195.12±15.02)分,高于对照组的(180.52±16.07)分,差异有统计学意义(t=4.453,P<0.05).研究组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 CIS患者采用IMB模型进行康复护理能够提高自我效能感与自我护理能力,保障生活质量,降低并发症发生风险.
Application Analysis of Rehabilitation Nursing Based on Information-Motivation-Behavioral Model in Patients with Cerebral Infarction
Objective To explore the effects of rehabilitation care for patients with cerebral infarction(CIS)based on information-motivation-behavioral(IMB)model.Methods Ninety CIS patients treated in Heze Traditional Chinese Medicine Hospital from August 2022 to July 2023 were randomly selected as the study objects.According to different nursing methods,they were divided into a control group(45 cases)to receive routine nursing,and a study group(45 cases)was given rehabilitation nursing based on IMB model.The scores of General Self Efficacy Scale(GSES),Exer-cise of Self-care Agency Scale(ESCA),Stroke Specific Quality of Life(SS-QOL)and complication rate were com-pared between the two groups.Results After 12 weeks of intervention,the GSES and ESCA scores of the study group were higher than those of the control group,and the differences were statistically significant(both P<0.05).After 12 weeks of intervention,the SS-QOL score of the study group was(195.12±15.02)points,which was higher than that of the control group(180.52±16.07)points,and the difference was statistically significant(t=4.453,P<0.05).The compli-cation rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of IMB model in rehabilitation nursing for CIS patients can improve self-efficacy and self-care ability,ensure quality of life,and reduce the risk of complications.
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