二元应对理论干预联合IMB模型下的护理在经皮内镜下胃造瘘术患者中的应用效果OA

Objective:To explore the application effect of nursing under the dual coping theory intervention combined with the Information-Motivation-Behavioral Skills(IMB)model in patients undergoing percutaneous endoscopic gastrostomy(PEG).Method:From May 2023 to May 2025,78 patients with PEG admitted to the First Affiliated Hospital of Fujian Medical University were divided into a control group(n=39,receiving routine nursing care)and an observation group(n=39,receiving comprehensive nursing care that integrates dual coping theory and IMB model)according to a random number table method.Both groups were followed up until 4 weeks after surgery,comparing the differences between the two groups in terms of psychology,nutrition,and stoma complications.Result:After intervention,the observation group had lower anxiety and depression scores,higher nutritional index values,and a lower overall incidence of stoma complications compared to the control group.These differences were all statistically significant(P<0.05).Conclusion:The intervention of the dual coping theory combined with the nursing under the IMB model can optimize the psychological state of PEG patients,improve their nutritional status,and reduce the risk of stoma complications.