基于IMB模型的健康教育对慢性乙肝患者自我管理能力的影响(1)
[摘要] 目的 探讨基于IMB模型的健康教育对慢性乙肝患者自我管理能力的影响。 方法 选择2018年7～12月在我院诊断治疗的慢性乙型肝炎患者100例为研究对象，随机分为干预组与对照组各50例，对照组进行常规健康教育，干预组给予基于IMB模型的健康教育。比较两组干预后自我管理动机评分以及自我管理能力。 结果 (1)出院后1个月两组自我护理动机自我评价得分均显著高于入组时，差异有统计学意义(P<0.05);出院后1个月干预组自我护理动机自我评价显著高于对照组，差异有统计学意义(P<0.05)。(2)出院后1个月两组疾病治疗管理、日常生活管理、心理社会管理、疾病信息管理评分均显著高于入组时，差异有统计学意义(P<0.05);出院后1个月，干预组疾病治疗管理、日常生活管理、心理社会管理、疾病信息管理评分均显著高于对照组，差异有统计学意义(P<0.05)。 结论 基于IMB模型的健康教育能够显著提高慢性乙型肝炎患者的自我管理能力。
[关键词] IMB模型;健康教育;慢性乙型肝炎;自我管理
[Abstract] Objective To explore the effect of IMB model-based health education on the self-management ability of patients with chronic hepatitis B. Methods A total of 100 patients with chronic hepatitis B diagnosed and treated in the hospital from July to December 2018 were enrolled in the study and randomly divided into the intervention group and the control group， with 50 patients in each group. The control group was given regular health education and the intervention group was given IMB model-based health education. Self-management motivation scores and self-management ability were compared between the two groups after intervention. Results 1.One month after hospital discharge， the self-evaluation scores of self-nursing motivation of the two groups were significantly higher than those when joining the group， with statistically significant differences(P<0.05). One month after hospital discharge， the self-evaluation score of self-nursing motivation of the intervention group was significantly higher than that of the control group， with statistically significant difference(P<0.05). 2.One month after hospital discharge， the disease treatment management， daily life management， psychosocial management and disease information management scores of the two groups were significantly higher than those when joining the group， with statistically significant differences(P<0.05). One month after hospital discharge， the disease treatment management， daily life management， psychosocial management and disease information management scores of the intervention group were significantly higher than those of the control group， with statistically significant differences(P<0.05). Conclusion IMB model-based health education can remarkably improve the self-management ability of patients with chronic hepatitis B.
[Key words] IMB model; Health education; Chronic hepatitis B; Self-management
慢性乙型肝炎是由乙型肝炎病毒導致，以肝脏损伤为主的一组全身性传染病。全球慢性乙型肝炎患者大约有3.5亿，我国属于感染高流行区，一般人群HBsAg阳性率为9.09%，总感染率为57.60%，接种与未接种乙型肝炎疫苗人群的HBsAg阳性率分别为4.51%与9.51%。慢性乙型肝炎难以治愈，需要长期治疗以控制病情，而患者的自我管理能力对病情的控制具有重要意义[1-2]。良好的健康教育方式能够提高患者自我管理能力，提高对疾病的认知，从而改善预后[3-4]。信息-动机-行为技巧模型(IMB模型)于1992年提出，后在健康教育领域得到广泛应用[5-6]。既往研究显示，该模型能够调动动机与自我效能，促进行为改变[7]。本研究将基于IMB模型的健康教育用于慢性乙型肝炎患者，分析其对患者自我管理能力的影响，现报道如下。, 百拇医药(庞俏俏 陆增生 吴红娣)
[关键词] IMB模型;健康教育;慢性乙型肝炎;自我管理
[Abstract] Objective To explore the effect of IMB model-based health education on the self-management ability of patients with chronic hepatitis B. Methods A total of 100 patients with chronic hepatitis B diagnosed and treated in the hospital from July to December 2018 were enrolled in the study and randomly divided into the intervention group and the control group， with 50 patients in each group. The control group was given regular health education and the intervention group was given IMB model-based health education. Self-management motivation scores and self-management ability were compared between the two groups after intervention. Results 1.One month after hospital discharge， the self-evaluation scores of self-nursing motivation of the two groups were significantly higher than those when joining the group， with statistically significant differences(P<0.05). One month after hospital discharge， the self-evaluation score of self-nursing motivation of the intervention group was significantly higher than that of the control group， with statistically significant difference(P<0.05). 2.One month after hospital discharge， the disease treatment management， daily life management， psychosocial management and disease information management scores of the two groups were significantly higher than those when joining the group， with statistically significant differences(P<0.05). One month after hospital discharge， the disease treatment management， daily life management， psychosocial management and disease information management scores of the intervention group were significantly higher than those of the control group， with statistically significant differences(P<0.05). Conclusion IMB model-based health education can remarkably improve the self-management ability of patients with chronic hepatitis B.
[Key words] IMB model; Health education; Chronic hepatitis B; Self-management
慢性乙型肝炎是由乙型肝炎病毒導致，以肝脏损伤为主的一组全身性传染病。全球慢性乙型肝炎患者大约有3.5亿，我国属于感染高流行区，一般人群HBsAg阳性率为9.09%，总感染率为57.60%，接种与未接种乙型肝炎疫苗人群的HBsAg阳性率分别为4.51%与9.51%。慢性乙型肝炎难以治愈，需要长期治疗以控制病情，而患者的自我管理能力对病情的控制具有重要意义[1-2]。良好的健康教育方式能够提高患者自我管理能力，提高对疾病的认知，从而改善预后[3-4]。信息-动机-行为技巧模型(IMB模型)于1992年提出，后在健康教育领域得到广泛应用[5-6]。既往研究显示，该模型能够调动动机与自我效能，促进行为改变[7]。本研究将基于IMB模型的健康教育用于慢性乙型肝炎患者，分析其对患者自我管理能力的影响，现报道如下。, 百拇医药(庞俏俏 陆增生 吴红娣)