广州医药2025，Vol.56Issue(2)：235-240,6.DOI:10.20223/j.cnki.1000-8535.2025.02.014
以IMB模型为基础延续护理平台在帕金森病患者中的应用
Application of continuous care platform based on IMB model in Parkinson's patients
摘要
Abstract
Objective To analyze the application effect of the information motivation behavioral skills(IMB)model as a continuous care platform in Parkinson's patients.Methods A study was conducted on 96 Parkinson's patients enrolled in our hospital from January 2019 to January 2022.They were divided into a control group and an observation group based on a random number table method,with 48 patients in each group.The control group received routine nursing intervention,while the observation group received continuous nursing platform intervention based on the IMB model.The psychological state scores,self-efficacy,hope level,motor ability,muscle tone,cognitive function of the two main caregivers 24 hours before intervention(T0)and 24 hours after completion of intervention(T1),and evaluate the Barthel index at T1 time were compared.Results The Hamilton Anxiety Scale(HAMA)[(16.64±2.57)points]and Hamilton Depression Scale(HAMD)[(16.38±1.69 points)scores]of patients in the observation group at T1 were lower than those in the control group[(20.65±1.68)points,(19.57±2.65)points](t=10.116,5.407,P＜0.001).The self-efficacy of patients in the observation group at T1 was(7.24±1.48)points.The hope level[(44.51±4.07)points]was higher than that of the control group[(6.02±1.74)points,(38.95±4.54)points](t=3.357,3.311,P＜0.001).The motor ability score at T1 time in the observation group[(43.62±4.01)points]was higher than that in the control group[(39.17±5.25)points](t=4.715,P＜0.001),and the muscle tone score[(0.72±0.21)points]was lower than that in the control group[(1.13±0.52)points](t=5.118,P＜0.001).The Barthel index evaluation of patients in the observation group at T1 time relied on help completion rate(6.25%)and partial completion rate(10.42%),which were lower than those in the control group(25.00%)and(27.08%)(χ2=6.353,5.263,P=0.012,0.022).The naming ability[(3.46±0.51)points],delayed recall[(3.78±0.21)points],language ability[(3.29±0.48)points],attention scores[(3.95±0.10)points]were higher than the control group[(2.91±0.98)points,(3.21±0.96)points,(2.87±0.82)points,(3.76±0.05)points](t=3.698,3.675,3.846,4.305,P=＜0.001,＜0.001,＜0.001).Conclusions Continuing nursing platform intervention based on the IMB model can improve the negative emotions,self-efficacy,hope level,motor ability,muscle tone,daily living ability,and cognitive level of Parkinson's patients.关键词
帕金森病/信息-动机-行为技巧模型/延续护理/效果Key words
Parkinson's disease/information motivation behavior skill model/continuing care/effect引用本文复制引用
许糯尹,刘梦君,丁雅慧,王丽,张佰景,邢焕民..以IMB模型为基础延续护理平台在帕金森病患者中的应用[J].广州医药,2025,56(2):235-240,6.基金项目
河南省医学科技攻关项目(LHGJ20210039) （LHGJ20210039）
