基于IMB模型对腹部带蒂皮瓣修复患者康复结局的影响OA
The effect of IMB model on rehabilitation outcome of patients with abdominal pedicled flap repair
目的 探讨信息-动机-行为技巧(information-motivation-behavioral,IMB)模型护理在腹部带蒂皮瓣修复患者术后康复中的应用价值及对康复结局的影响.方法 选取2021年7月至2023年12月柳州市工人医院60例行腹部带蒂皮瓣修复术患者,随机分为对照组(常规护理,n=30)与观察组(IMB模型护理干预,n=30).比较两组患者干预前后肩关节功能障碍发生率、腕关节活动度(range of motion,ROM)及术后6个月手功能、生活质量.结果 干预后,观察组患者的肩关节功能障碍发生率(23.33%)显著低于对照组(76.67%),腕关节ROM及术后6个月手功能均优于对照组(P<0.05);生活质量亦显著提高(P<0.05).结论 IMB模型护理可有效预防肩关节功能障碍,促进上肢功能恢复,提升患者康复依从性与生活质量,改善康复结局,临床应用价值显著.
Objective To explore the application value of information-motivation-behavioral(IMB)model nursing in rehabilitation after abdominal pedicled flap repair and its effect on rehabilitation outcome.Methods 60 patients with abdominal pedicle flap repair at Liuzhou Worker's Hospital from July 2021 to December 2023 were randomly divided into control group(routine nursing,n=30)and observation group(IMB model nursing intervention,n=30).The incidence of shoulder dysfunction,wrist range of motion(ROM),hand function and quality of life at 6 months after operation were compared between two groups before and after intervention.Results After intervention,the incidence of shoulder joint dysfunction in observation group(23.33%)was significantly lower than that in control group(76.6%),and the wrist ROM and hand function at 6 months after operation were better than those in control group(P<0.05).The quality of life was also significantly improved(P<0.05).Conclusion IMB model nursing can effectively prevent shoulder joint dysfunction,promote the recovery of upper limb function,improve the rehabilitation compliance and quality of life of patients,and improve the rehabilitation outcome.The clinical application value is significant.
班荣曼
柳州市工人医院手足踝外科,广西 柳州 545000
医药卫生
信息-动机-行为技巧模型皮瓣蒂部修复生活质量
Information-motivation-behavioral skills modeFlap pedicle repairQuality of life
《中国现代医生》 2026 (9)
20-23,4
广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z20210607)
评论