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基于信息-动机-行为技巧模型的护理干预对功能性消化不良患者心理状态及胃肠动力的影响

The impact of nursing intervention based on the Information-Motivation-Behavioral Skills model on the psychological status and gastrointestinal motility of patients with functional dyspepsia

    摘要
  • 摘要:
    目的 分析基于信息-动机-行为技巧(IMB) 模型的护理干预对功能性消化不良患者的作用。
    方法 选取2022年12月—2023年6月新乡医学院第一附属医院收治的160例功能性消化不良患者为研究对象，根据随机数字表法将其分为对照组和观察组，每组80例。对照组患者应用常规护理干预，观察组患者在对照组基础上应用基于IMB模型的护理干预。比较2组患者干预前后心理状态、胃肠动力及生活质量情况。
    结果 干预后, 2组患者汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均有所下降，且观察组低于对照组，差异有统计学意义(P < 0.05)。干预后, 2组患者胃肠激素一氧化氮(NO)、血清胃动素(MTL)和血清胃泌素(GAS)水平均有所改善，观察组各指标水平均优于对照组，差异有统计学意义(P < 0.05)。干预后, 2组患者胃肠道生活质量指数(GIQLI)评分均有所提高，且观察组高于对照组，差异有统计学意义(P < 0.05)。
    结论 基于IMB模型的护理干预有利于缓解功能性消化不良患者的焦虑、抑郁情绪，能有效增强患者胃肠动力及活力，提高患者生活质量。

     

    Abstract:
    Objective To analyze the effect of nursing interventions based on the Information-Motivation-Behavioral Skills (IMB) model in patients with functional dyspepsia, in order to improve their psychological state and gastrointestinal motility, and provide reference for clinical nursing.
    Methods A total of 160 functional dyspepsia patients admitted to the First Affiliated Hospital of Xinxiang Medical College from December 2022 to June 2023 were chosen as the study subjects. They were randomly divided into control group and observation group, using a random number table method, with 80 cases in each group. Patients in control group were given routine nursing intervention, and patients in the observation group were treated nursing intervention based on IMB model. The psychological state, gastrointestinal motility andquality of life of the two groups were compared before and after intezrvention.
    Results After intervention, the scores of Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) in two groups were decreased, and the observation group was lower than that in the control group (P < 0.05). After intervention, the levels of gastrointestinal hormone nitric oxide (NO), serum motilin (MTL) andserum gastrin (GAS) in two groups were improved, and the levels of all indexes in the observation group were better than those in the control group (P < 0.05). After intervention, gastrointestinal quality of life index (GIQLI) of two groups was improved, and the observation group was higher than the control group, the difference was statistically significant (P < 0.05).
    Conclusion Nursing interventions based on the IMB model are beneficial for alleviating anxiety and depression in patients with functional dyspepsia, effectively enhancing gastrointestinal motility and vitality, and improving their quality of life.

     

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