Shen Wei, Liu Xiaorong, Zhou Aiping
Department of Hematology, The First Affiliated Hospital of Soochow University, SuZhou, Jiangsu 215006, China.
Evid Based Complement Alternat Med. 2021 Oct 18;2021:8204522. doi: 10.1155/2021/8204522. eCollection 2021.
To explore the effect of continuous nursing care based on the "information-motivation-behavioral skills model" (IMB) in the intervention of patients with aplastic anemia.
A total of 90 patients with aplastic anemia who were admitted to our hospital from June 2019 to January 2021 were included in the study. The patients were divided into an observation group and a control group according to the random number table, with 45 patients in each group. The control group received routine nursing care, while the observation group received continuous nursing care based on IMB on the basis of the control group. Patients were followed up for 3 months, and their health knowledge was assessed with our self-made health knowledge rating scale. Patients' medication compliance was assessed using the Morisky medication compliance questionnaire. The self-care ability was assessed with the self-made self-care ability scale in our hospital. The comprehensive quality of life assessment questionnaire (GQOLI-74) was used to assess the quality of life of patients. A self-prepared nursing satisfaction questionnaire was used to score patients' nursing satisfaction. The total effective rate of nursing was evaluated.
The awareness scores of basic disease knowledge, medication knowledge, and daily self-care knowledge in the observation group were higher than those in the control group ( < 0.05). The scores of medication compliance in the observation group were higher than those in the control group ( < 0.05). The self-care abilities such as healthy diet, psychological adjustment, self-care skills, oral care, and perianal care in the observation group were higher than those in the control group ( < 0.05). The quality of life scores of patients in the two groups in the 3 months of nursing were higher than those when they were discharged from hospital ( < 0.05). The GQOLI-74 score of 3 months' nursing care in the observation group was higher than that in the control group ( < 0.05). The nursing satisfaction degree of the observation group (97.78%) was higher than that of the control group (82.23%) ( < 0.05). The total effective rate of nursing care in the observation group (97.78%) was higher than that in the control group (77.78%) ( < 0.05).
IMB-based continuous nursing care can significantly increase the awareness of health knowledge in patients with aplastic anemia, effectively improve medication compliance, significantly enhance self-care ability, and thus, improve the quality of life.
探讨基于“信息-动机-行为技能模型”（IMB）的延续性护理对再生障碍性贫血患者的干预效果。
选取2019年6月至2021年1月我院收治的90例再生障碍性贫血患者纳入研究。根据随机数字表将患者分为观察组和对照组，每组45例。对照组接受常规护理，观察组在对照组基础上接受基于IMB的延续性护理。对患者进行3个月的随访，采用自制的健康知识评分量表评估其健康知识掌握情况。采用Morisky用药依从性问卷评估患者的用药依从性。采用我院自制的自我护理能力量表评估患者的自我护理能力。采用综合生活质量评定问卷（GQOLI-74）评估患者的生活质量。采用自制的护理满意度调查问卷对患者的护理满意度进行评分。评价护理总有效率。
观察组患者在基础疾病知识、用药知识、日常自我护理知识方面的知晓得分高于对照组（<0.05）。观察组患者的用药依从性得分高于对照组（<0.05）。观察组患者在健康饮食、心理调适、自我护理技能、口腔护理、肛周护理等自我护理能力方面高于对照组（<0.05）。两组患者护理3个月时的生活质量得分均高于出院时（<0.05）。观察组护理3个月时的GQOLI-74得分高于对照组（<0.05）。观察组的护理满意度（97.78%）高于对照组（82.23%）（<0.05）。观察组护理总有效率（97.78%）高于对照组（77.78%）（<0.05）。
基于IMB的延续性护理可显著提高再生障碍性贫血患者的健康知识知晓度，有效改善用药依从性，显著增强自我护理能力，进而提高生活质量。
