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目的以信息-动机-行为技巧模型(information-motivation-behavioral skills model,IMB模型)为理论基础制订干预措施,评价其在面部有创激光术后自我护理中的应用价值。方法将240例接受面部有创激光术的患者随机分为实验组和对照组,每组各120例。对照组仅接受常规护理和健康教育;实验组除常规护理外,另辅以IMB模型干预措施。3个月后比较两组患者自我护理能力、焦虑程度、术后并发症发生率及满意度。结果实验组干预后的自我护理能力及满意度均高于对照组;术后焦虑程度及并发症发生率均低于对照组,差异均具有统计学意义(P<0.05)。结论基于IMB模型为患者提供信息、动机和行为技巧干预,能够提高患者的自我护理能力,促进术区恢复,降低并发症发生率。
Objective To develop intervention measures based on the information-motivation-behavioral skills model (IMB model) and evaluate its value in self-care after facial invasive laser surgery. Methods A total of 240 patients undergoing facial laser surgery were randomly divided into experimental group and control group, with 120 cases in each group. The control group only received routine nursing and health education. In addition to the routine nursing, the experimental group supplemented by the IMB model intervention. Three months later, self-care ability, anxiety, postoperative complication rate and satisfaction were compared between the two groups. Results The self-care ability and satisfaction of the experimental group after intervention were higher than that of the control group. The postoperative anxiety and complication rate were lower than the control group (P <0.05). Conclusion Based on the IMB model to provide information, motivation and behavioral skills intervention for patients, patients can improve self-care ability and promote the recovery of the operation area and reduce the incidence of complications.