信息-动机-行为模型在冠心病患者经皮冠状动脉介入术后心脏康复中的应用研究

目的 探讨信息-动机-行为(information-motivation-behavioral,IMB)模型在冠状动脉粥样硬化心脏病(冠心病)患者经皮冠状动脉介入治疗(percutaneous coronary intervention, PCI)术后心脏康复中的应用效果。方法 选取2021年1月-12月在心血管内科行PCI术的120例冠心病患者。按照随机数字表法将其分为对照组和研究组,各60例。对照组给予心脏康复健康教育,研究组在对照组基础上应用IMB模型进行个体化教育,比较2组干预3个月后的心脏康复信息需求和依从性。结果 干预3个月后,研究组心脏基础知识、营养知识、药物知识、心理压力、紧急与安全、风险因素评分及心脏康复依从性各条目评分均高于对照组(P＜0.05)。结论 应用IMB模型进行个体化教育,能改善冠心病PCI术后患者的心脏康复信息需求和依从性。

Effects of the IMB model on cardiac rehabilitation compliance of patients with coronary heart disease after percutaneous coronary intervention

Objective To explore the effect of the information-motivation-behavioral(IMB) model on the compliance of cardiac rehabilitation (CR) of patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI). Methods Totally 120 CHD patients undergoing PCI in 2021 were divided into a control group and an study group of 60, according to a random number table. Both groups were given CR health education, while the study group was given individualized health education based on the IMB model. The demands and willingness of cardiac rehabilitation information were compared between the two groups after 3 months of intervention. Results After 3 months of intervention, there were significant differences between the study group and the control group in the scores of basic cardiac knowledge, nutrition knowledge, drug knowledge, psychological pressure, emergency and safety, and risk factor scores(P＜0.05 for all). After the intervention,the compliance of cardiac rehabilitation in the study group was significantly higher than that in the control group(P<0.05). Conclusion The application of IMB model in individualized education can improve the information needs and complinace of cardiac rehabilitation in patients with coronary heart disease after PCI.