首页|微信公众平台联合IMB模型护理对食管癌化疗间歇期患者自我效能感及应对方式的影响

微信公众平台联合IMB模型护理对食管癌化疗间歇期患者自我效能感及应对方式的影响

Impact of WeChat Public Platform Combined with IMB Model Nursing on Self-efficacy and Coping Strategies of Esophageal Cancer Patients During Chemotherapy Interval

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目的 从患者自我效能感及应对方式角度,探讨微信公众平台联合信息—动机—行为技巧(information-motivation-behavioral skills,IBM)模型护理对食管癌化疗间歇期患者的作用机制.方法 纳入河南大学第一附属医院收治的 80 例食管癌患者,以随机数字表法分为对照组和观察组各 40 例,对照组实施常规护理方案,观察组在对照组的基础上实施微信公众平台联合IBM模式护理干预,对比两组患者自我效能感、应对方式、生存质量、满意度.结果 护理后,观察组自我效能感、生存质量评分以及面对评分更高、回避以及屈服评分更低,组间对比差异存在统计学意义(P<0.05);观察组患者满意度为 95.00%,高于对照组的 80.00%(P<0.05).结论 针对食管癌化疗间歇期患者,以微信公众平台联合IBM模型护理,能够有效改善患者自我效能感,帮助患者树立治疗信心,促使其形成积极面对治疗的心态,对提高患者生存质量、满意度具有重要作用.
Objective To explore the mechanism of WeChat's joint information-motivation-behavioral skills(IMB)model nursing care for patients with oesophageal cancer in the intermittent period between chemotherapy treatments,based on the perspective of improving patients'self-efficacy and coping styles.Methods 80 oesophag-eal cancer patients admitted to our hospital were included,and divided into 40 cases each in the control group and the observation group randomly.The control group implemented the conventional nursing programme,and the obser-vation group implemented the WeChat public platform combined with the IMB mode of nursing intervention on the basis of the control group,The self-efficacy,coping style,quality of survival,and degree of satisfaction of the pa-tients of the two groups were compared.Results After nursing,the observation group showed higher self-efficacy,quality of life scores,and facing scores,loweravoidanceand surrender scores,with statistically significant differences between the groups(P<0.05);The satisfaction rate of patients in the observation group was 95.00%,higher than the 80.00%in the control group(P<0.05).Conclusion For patients in the chemotherapy interval of esophageal cancer,the combination of WeChat public platform and IMB model nursing can effectively improve patients'self-effi-cacy,help them establish treatment confidence,promote their positive attitude towards treatment,and play an im-portant role in improving patients'quality of life and satisfaction.

esophageal cancerchemotherapy intervalIMB modelWeChatself-efficacycoping styles

郭金丹、殷凤芳

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河南大学第一附属医院,河南 开封,475000

食管癌 化疗间歇期 IMB模型 微信 自我效能感 应对方式

2024

食管疾病
河南科技大学

食管疾病

ISSN:2096-7381
年,卷(期):2024.6(4)