首页|IMB模型结合营养管理在高血压伴食管癌患者手术护理中的应用

IMB模型结合营养管理在高血压伴食管癌患者手术护理中的应用

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目的:探讨信息-动机-行为技巧(information-motivation-behavior,IMB)模型结合营养管理在高血压伴食管癌患者手术护理中的应用效果。方法:选取 2021 年 3 月—2023 年 3 月广州中医药大学第一附属医院收治的 84 例高血压伴食管癌手术患者作为研究对象,根据随机数表法将患者分为对照组(常规护理)和观察组(IMB模型结合营养管理),各42例。比较两组血压、营养指标、手术耐受性。结果:干预后,两组收缩压、舒张压较干预前降低,且观察组较对照组低,差异有统计学意义(P<0。05);干预后,两组血清前白蛋白、白蛋白、血红蛋白水平较干预前提高,且观察组较对照组高,差异有统计学意义(P<0。05);观察组手术耐受性优良率高于对照组,差异有统计学意义(P<0。05)。结论:IMB模型结合营养管理可控制高血压伴食管癌患者血压水平,改善营养状态,提高手术耐受性,为术后康复提供有力保障。
Application of IMB Model Combined with Nutrition Management in Surgical Care of Patients with Hypertension and Esophageal Cancer
Objective:To explore the application effect of information-motivation-behavior(IMB)model combined with nutrition management in surgical care of patients with hypertension and esophageal cancer.Method:A total of 84 patients with hypertension and esophageal cancer who admitted to the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from March 2021 to March 2023 were selected as the study objects,the patients were divided into the control group(routine nursing)and the observation group(IMB model combined with nutrition management)according to the random number table method,with 42 cases in each group.The blood pressure,nutritional indexes and surgical tolerance of two groups were compared.Result:After intervention,the systolic blood pressure and diastolic blood pressure of two groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after intervention,the levels of serum prealbumin,albumin and hemoglobin in two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the excellent and good rate of surgical tolerance in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:IMB model combined with nutrition management can control the blood pressure levels in patients with hypertension and esophageal cancer,improve nutritional status,enhance surgical tolerance,and provide strong support for postoperative recovery.

IMB modelNutrition managementHypertensionEsophageal cancerNutritional status

郭丽霞

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广州中医药大学第一附属医院 广东 广州 510405

IMB模型 营养管理 高血压 食管癌 营养状况

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(18)