摘要
Abstract
Objective To explore the application effect of nursing intervention based on information motivation behavioral skills model(IMB)in the nursing of facial soft tissue defects after flap transplantation repair.Methods A total of 80 patients with facial soft tissue defects induced by oral and maxillofacial tumors enlargement who underwent flap transplantation repair in the author's hospital were enrolled between January 2020 and December 2022.According to random number table method,they were divided into observation group and control group,40 cases in each group.After surgery,control group was given routine nursing,while observation group was given IMB-based nursing intervention for 4 weeks.The survival rate of transplanted flaps and flap pedicle division time,scores of self-care ability,general self-efficacy scale(GSES),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and nursing satisfaction before and after intervention,and the occurrence of complications were compared between the two groups.Results The survival rate of transplanted flaps in observation group was significantly higher than that in control group,and flap pedicle division time was significantly shorter than that in control group(P＜0.05).After nursing intervention,scores of self-care ability(health knowledge,self-care responsibility,self-care skills)in observation group were significantly higher than those in control group(P＜0.05).GSES score in observation group was significantly higher than that in control group,SAS and SDS scores were significantly lower than those in control group(P＜0.05).The scores of satisfaction with basic nursing,complication nursing,nursing attitude and aesthetics in observation group were significantly higher than those in control group(P＜0.05).There was no significant difference in total incidence of complications between observation group and control group(10.00％vs 17.50％,P＜0.05).Conclusion The application of nursing intervention based on IMB model in the postoperative nursing of skin flap transplantation to repair facial soft tissue defects can improve the self-management ability,self-efficacy and nursing satisfaction of patients,relieve their negative psychology,and improve the survival rate of transplanted flap,which has high clinical application value.关键词
面部软组织缺损/皮瓣移植/术后护理/信息-动机-行为技巧模型/自我管理能力Key words
facial soft tissue defect/flap transplantation/postoperative nursing/information motivation behavioral skills model/self-management ability分类
医药卫生
