Abstract：Objective To analyze the application effect of the intervention model based on information motivation behavioral skills model (IMB) in nursing of patients with postoperative chemotherapy for gastric cancer. Methods A total of 60 patients with postoperative chemotherapy for gastric cancer in the Department of General Surgery, Nanjing First Hospital (“our hospital” for short) from August 2020 to January 2021 were prospectively selected as subjects. They were divided into observation group and control group by random number table method, with 30 cases in each group. The observation group was given IMB model intervention combined with routine nursing, while the control group was given routine nursing. Before nursing and two months after nursing, self-care ability (assessed by the exercise of self care ability [ESCA] and self-efficacy assessed by general self-efficacy scale [GSES]) of the two groups were evaluated and compared. The nursing satisfaction of the two groups at two months was statistically compared (evaluated by the self-made nursing satisfaction questionnaire of our hospital). Results After two months of nursing, the scores of ESCA dimensions and GSES in both groups increased, and the observation group was higher than those in the control group (P ＜ 0.05). There was no significant difference in total nursing satisfaction between the two groups (P ＞ 0.05). Conclusion The application of intervention mode based on IMB model in nursing of patients with postoperative chemotherapy for gastric cancer can improve the self-care ability and self-efficacy sense of patients, and improve nursing satisfaction.
邹朦朦 许蔚▲. 基于IMB模型的干预模式在胃癌术后化疗患者护理中的应用[J]. 中国医药导报, 2021, 18(33): 173-176,188.
ZOU Mengmeng XU Wei▲. Application of intervention mode based on IMB model in nursing of patients with postoperative chemotherapy for gastric cancer#br#. 中国医药导报, 2021, 18(33): 173-176,188.
[1] Charalampakis N，Economopoulou P，Kotsantis I，et al. Medical management of gastric cancer：a 2017 update [J]. Cancer Med，2018，7（1）：123-133.
[2] Li J，Hart TL，Aronson M，et al. Cancer Worry，Perceived Risk and Cancer Screening in First-Degree Relatives of Patients with Familial Gastric Cancer [J]. J Genet Couns，2016，25（3）：520-528.
[3] Dubov A，Altice FL，Fraenkel L. An Information-Motivation-Behavioral Skills Model of PrEP Uptake [J]. AIDS Behav，2018，22（11）：3603-3616.
[4] Nelson LA，Wallston KA，Kripalani S，et al. Assessing barriers to diabetes medication adherence using the Information-Motivation-Behavioral skills model [J]. Diabetes Res Clin Pract，2018，33（142）：374-384.
[5] 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，2017，38（6）：407-410.
[6] 中华人民共和国国家卫生和计划生育委员会.胃癌规范化诊疗指南（试行）[J].中国医学前沿杂志，2013，5（8）：29-36.
[7] Wang CW，Lai JC. Reporting functional status in UNOS：The weakness of the Karnofsky Performance Status Scale [J]. Clin Transplant，2017，31（7）：e1300.
[8] 王月宾，许禄云，杨林顺，等.自我护理能力实施量表中文版在精神分裂症患者中的信效度[J].临床精神医学杂志，2014，24（2）：104-107.
[9] Patricia Cid H，Alda Orellana Y，Omar Barriga. General self-efficacy sense scale validation in Chile [J]. Rev Med Chil，2010，138（5）：551-557.
[10] 牛洪艳，倪静玉，张玲，等.护理满意度量表在临床住院病人中应用的信效度研究[J].护理研究，2016，30（3）：287-290.
[11] Cats A，Jansen EPM，van Grieken NCT，et al. Chemotherapy versus chemoradiotherapy after surgery and preoperative chemotherapy for resectable gastric cancer （CRITICS）：an international，open-label，randomised phase 3 trial [J]. Lancet Oncol，2018，19（5）：616-628.
[12] 王娟，王凤玲，苟容.中医辨证施护配合心理干预对胃癌术后化疗患者心理状态和生活质量的影响[J].现代中西医结合杂志，2017，26（21）：2384-2387.
[13] Krok D，Telka E. The role of meaning in gastric cancer patients：relationships among meaning structures，coping，and psychological well-being [J]. Anxiety Stress Coping，2019，32（5）：522-533.
[14] 唐绍珍，骆昌全，邹懿.基于IMB模型与思维导图相结合的全程护理干预策略在尿毒症合并膀胱癌灌注化疗病人中的应用[J].护理研究，2019，33（15）：2678-2682.
[15] 张海晨，马进.基于IMB模型的肺部疾病肿瘤标志物检测行为调查[J].上海交通大学学报：医学版，2018，38（2）：206-211.
[16] Alexander DS，Hogan SL，Jordan JM，et al. Examining whe-ther the information-motivation-behavioral skills model predicts medication adherence for patients with a rare disease [J]. Patient Prefer Adherence，2017，12（11）：75-83.
[17] 赵吉山，曹传友，李太玉，等.信息-动机-行为技巧模型引导癌痛管理措施对基层癌症患者的管理效果[J].中国肿瘤临床与康复，2019，26（2）：167-169.
[18] 钟春霞，魏清风，熊燕，等.基于IMB模型的出院准备计划在结直肠癌永久性肠造口患者中的应用[J].护理学杂志，2020，35（21）：1-4.
[19] Wang X，Jia M，Li Y，et al. Validation of an information-motivation-behavioral skills model of upper limb functional exercise adherence among Chinese postoperative patients with breast cancer [J]. Breast Cancer，2019，26（2）：198-205.
[20] 董蓓，王红军，沙静瑶，等.信息-动机-行为模式联合聚焦解决模式在原发性大肝癌患者中的应用[J].中华现代护理杂志，2020，26（14）：1899-1902.
[21] 杜敏，黄燕，陈蓓蓓，等.信息-动机-行为技巧模型的延续护理对脑卒中患者照顾者的影响[J].中国现代医生，2020，58（36）：169-173.
[22] 刘爱姣.基于信息-动机-行为技巧模型的健康指导干预在妊娠期肝内胆汁淤积症患者中的应用及对母婴结局的影响[J].中国医药科学，2021，11（16）：98-101.
[23] Talley CH，Yang L，Williams KP. Breast Cancer Screening Paved with Good Intentions： Application of the Information-Motivation-Behavioral Skills Model to Racial/Ethnic Minority Women [J]. J Immigr Minor Health，2017， 19（6）：1362-1371.
[24] 林云，郭梅，饶晓燕，等.信息—动机—行为模型在肝门部胆管癌围手术期护理中的应用[J].中国临床研究，2019，32（9）：1299-1301.
[25] 孙爱英，袁庆，袁东风，等.信息-动机-行为技巧模型护理在胸上段食管鳞癌根治术后辅助化疗中的应用价值[J].中国实用护理杂志，2019（22）：1684-1689.
[26] 王萍，马玉，杨越，等.基于信息-动机-行为技巧模型的延续性护理对脑卒中患者认知功能障碍的影响[J].中国医药导报，2020，17（23）：163-166.
[27] 钱丽萍，傅巧美，王良梅，等.基于信息-动机-行为技巧模型模式的干预对膀胱肿瘤术后膀胱灌注化疗依从性和效果的影响[J].中国医药，2019，14（11）：1682-1685.
[28] Ranahan M，Von Visger J，Kayler LK. Describing barriers and facilitators for medication adherence and self-management among kidney transplant recipients using the information-motivation-behavioral skills model [J]. Clin Transplant，2020，34（6）：e13862.
[29] Davis SN，O’Malley DM，Bator A，et al. Correlates of Information Seeking Behaviors and Experiences Among Adult Cancer Survivors in the USA [J]. J Cancer Educ，2020，34（2）：10.
京公网安备 11010502046598号