切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (06) : 673 -676. doi: 10.3877/cma.j.issn.1674-392X.2020.06.021

所属专题: 文献

护理论著

基于IMB模型的护理干预对腹壁肠造口患儿并发症及家属护理满意度的影响
周倩1, 冯梅1, 唐梦琳1,()   
  1. 1. 610041 成都,四川大学华西医院重症医学科小儿ICU
  • 收稿日期:2019-11-21 出版日期:2020-12-20
  • 通信作者: 唐梦琳
  • 基金资助:
    四川省科技厅-应用基础研究计划(2015JY0194)

Effect of nursing intervention based on IMB model on complications of abdominal intestine enterostomy and children's nursing satisfaction

Qian Zhou1, Mei Feng1, Menglin Tang1,()   

  1. 1. Pediatric ICU, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2019-11-21 Published:2020-12-20
  • Corresponding author: Menglin Tang
引用本文:

周倩, 冯梅, 唐梦琳. 基于IMB模型的护理干预对腹壁肠造口患儿并发症及家属护理满意度的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2020, 14(06): 673-676.

Qian Zhou, Mei Feng, Menglin Tang. Effect of nursing intervention based on IMB model on complications of abdominal intestine enterostomy and children's nursing satisfaction[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(06): 673-676.

目的

探讨基于信息-动机-行为技巧(IMB)模型的护理干预对腹壁肠造口患儿并发症及家属护理满意度的影响。

方法

选取2014年9月至2019年8月入住四川大学华西医院的腹壁肠造口患儿66例,按干预方式分为2组,各33例,对照组只进行常规护理,研究组采取基于IMB模型的护理干预,比较2组出现并发症的概率以及家属护理满意度。

结果

对照组出现并发症的概率高于研究组(P<0.05),对照组家属护理满意度低于研究组(P<0.05)。

结论

在护理腹壁肠造口患儿的过程中,采取基于IMB模型的护理干预,效果确切,可在临床上多加广泛推广与应用。

Objective

To investigate the effect of nursing intervention based on information-motivation-behavioral skills (IMB) model on the complications of abdominal intestine enterostomy and children's nursing satisfaction.

Methods

Sixty-six children with abdominal intestine enterostomy who were admitted to West China hospital from September 2014 to August 2019 were enrolled. The patients were divided into two groups according to the intervention method, with 33 cases in each group. The control group only received routine nursing. The research group adopted the IMB-based model nursing interventions. The probability of complications in both groups and parental care satisfaction between the two groups were compared.

Results

The probability of complications in the control group was higher than that in the study group (P<0.05). The satisfaction of parents in the control group was lower than that in the study group (P<0.05).

Conclusion

In the process of nursing children with abdominal intestine stoma, the nursing intervention based on IMB model is effective, and it can be widely promoted and applied in clinical practice.

表1 2组患儿出现并发症的概率对比[例(%)]
表2 2组患儿家属护理满意度对比[例(%)]
[1]
左秀萍. 基于信息-动机-行为技巧模型的护理干预对AECOPD患者生活质量的影响[J]. 河北医药, 2017, 39(20): 3187-3191.
[2]
李莎,焦鸿梅,乔够梅, 等. IMB干预模式在膀胱肿瘤术后膀胱灌注化疗患者中的护理研究[J]. 西北国防医学杂志, 2017, 15(6): 407-410.
[3]
孙云,段艳霞,薛云珠, 等. 应用信息、动机、行为护理干预降低结直肠癌患者术前心理应激水平的效果观察[J]. 结直肠肛门外科, 2018, 24(6): 108-112.
[4]
Lacey J, Lomax A J, Mcneil C, et al. A supportive care intervention for people with metastatic melanoma being treated with immunotherapy: a pilot study assessing feasibility, perceived benefit, and acceptability[J]. Supportive Care in Cancer, 2018, 7(4): 1-11.
[5]
杨满梅,杨国荣. 信息-动机-行为技巧模型对心力衰竭患者自我管理的影响[J]. 护理实践与研究, 2018, 15(12): 76-77.
[6]
乔够梅,陆筱钒,张晓丽, 等. 基于IMB技巧模型的健康教育在老年男性膀胱造瘘患者中的应用[J]. 护理研究, 2017, 31(2): 559-562.
[7]
邓慧,王美青,季红, 等. 基于信息动机行为技巧模型的微信教育对糖尿病肾病患者自我管理的影响[J]. 中华现代护理杂志, 2018, 24(1): 76-80.
[8]
冯晓红,茹松伟. 结肠造瘘口围手术期护理[J/OL]. 中华疝和腹壁外科杂志:电子版, 2013, 7(6): 76-77.
[9]
Chang SJ, Choi S, Kim SA, et al. Intervention Strategies Based on Information-Motivation-Behavioral Skills Model for Health Behavior Change: A Systematic Review[J]. Asian Nursing Research, 2014, 8(3): 172-181.
[10]
王群敏,王飞霞,刘凡隆, 等. 造口护肤粉联合皮肤保护膜在肛瘘术后护理中的应用及效果评价[J]. 中华护理杂志, 2017, 52(s1): 51-54.
[11]
Sumida W, Uchida H, Tanaka Y, et al. Review of redo-Kasai portoenterostomy for biliary atresia in the transition to the liver transplantation era[J]. Nagoya Journal of Medical Science, 2017, 79(3): 415-420.
[12]
王江,丁岚,陈法喜, 等. 重症急性胰腺炎合并结肠瘘术后回肠造口周围炎患者的护理[J]. 肠外与肠内营养, 2017, 24(3): 189-192.
[13]
Sussman J, Bainbridge D, Whelan T J, et al. Evaluation of a specialized oncology nursing supportive care intervention in newly diagnosed breast and colorectal cancer patients following surgery: a cluster randomized trial[J]. Supportive Care in Cancer, 2018, 26(5): 1533-1541.
[14]
陈玉珍,随立立,邹丽霞, 等. IMB健康教育对乳腺癌患者术后功能锻炼依从性的影响[J]. 临床护理杂志, 2018, 17(2): 2-4.
[15]
Shah MN, Hollander MM, Jones CM, et al. Improving the ED-to-Home Transition: The Community Paramedic-Delivered Care Transitions Intervention-Preliminary Findings[J]. Journal of the American Geriatrics Society, 2018, 66(11): 2213.
[1] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[2] 刘世君, 马杰, 师鲁静. 胃癌完整系膜切除术+标准D2根治术治疗进展期胃癌的近中期随访研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 27-30.
[3] 赵丽霞, 王春霞, 陈一锋, 胡东平, 张维胜, 王涛, 张洪来. 内脏型肥胖对腹腔镜直肠癌根治术后早期并发症的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 35-39.
[4] 奚玲, 仝瀚文, 缪骥, 毛永欢, 沈晓菲, 杜峻峰, 刘晔. 基于肌少症构建的造口旁疝危险因素预测模型[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 48-51.
[5] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[6] 常小伟, 蔡瑜, 赵志勇, 张伟. 高强度聚焦超声消融术联合肝动脉化疗栓塞术治疗原发性肝细胞癌的效果及安全性分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 56-59.
[7] 徐逸男. 不同术式治疗梗阻性左半结直肠癌的疗效观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 72-75.
[8] 王露, 周丽君. 全腹腔镜下远端胃大部切除不同吻合方式对胃癌患者胃功能恢复、并发症发生率的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 92-95.
[9] 康婵娟, 张海涛, 翟静洁. 胰管支架置入术治疗急性胆源性胰腺炎的效果及对患者肝功能、炎症因子水平的影响[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 667-670.
[10] 付成旺, 杨大刚, 王榕, 李福堂. 营养与炎症指标在可切除胰腺癌中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 704-708.
[11] 赵梓竣, 兰运升. 改良一针法末端回肠造口术对低位直肠癌保肛术后应激反应及安全性的影响[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 611-614.
[12] 许杰, 李亚俊, 冯义文. SOX新辅助化疗后腹腔镜胃癌D2根治术与常规根治术治疗进展期胃癌的近期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 647-650.
[13] 刘柏隆, 周祥福. 女性尿失禁吊带手术并发症处理的经验分享[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 127-127.
[14] 嵇振岭, 陈杰, 唐健雄. 重视复杂腹壁疝手术并发症的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 601-606.
[15] 石阳, 于剑锋, 曹可, 翟志伟, 叶春祥, 王振军, 韩加刚. 可扩张金属支架置入联合新辅助化疗治疗完全梗阻性左半结肠癌围手术期并发症分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 464-471.
阅读次数
全文


摘要