基于信息-动机-行为技巧模型的健康教育在脑胶质瘤同步放化疗患者中的应用

目的：探讨基于信息-动机-行为技巧模型的健康教育在脑胶质瘤术后同步放化疗患者中的应用效果。方法：选取脑胶质瘤术后需要同步放化疗的60例患者作为研究对象，分为观察组和对照组各30例。对照组给予常规健康宣教，观察组在常规健康指导的基础上实施基于信息-动机-行为技巧模型的健康教育，在干预前、同步放化疗第6周及出院后1个月、4个月及6个月比较两组患者的自我管理效能水平、用药依从性。在干预前、同步放化疗第2周、第4周及第6周比较两组患者的不良反应发生情况。结果 干预后两组患者服药依从性、自我管理效能感各个维度的评分随时间进展均有所提高，且观察组自我效能感各维度得分及用药依从性得分明显优于对照组（P＜0.05）。同步放化疗第2周观察组患者的不良反应总发生率与对照组相比，无统计学意义（P＞0.05），同步放化疗第4周、第6周观察组患者的不良反应总发生率均低于对照组（P＜0.05）。结论 基于信息-动机-行为技巧模型的健康教育可改善患者的用药依从性，提高其自我管理效能水平，降低放化疗期间不良反应发生。

Application of health education based on information-motivation-behavioral skill model in cerebral glioma patients undergoing concurrent chemoradiotherapy

Objective:To explore the effect of health education based on information-motivation-behavioral skill model in patients with cerebral glioma undergoing postoperative concurrent chemoradiotherapy.Methods: 60 patients were selected as the study group and divided into observation group and control group, 30 cases in each group. The control group was given routine health education, while the observation group performed health education based on the information-motivation-behavioral skill model on the basis of routine health guidance. The self-management efficacy level and medication compliance were compared between 2 groups before intervention, at 6 weeks after concurrent chemoradiotherapy, and 1 month and 4 months after discharge. The incidence of adverse reactions was compared before intervention, at 2nd, 4th and 6th week of concurrent chemoradiotherapy.Results:After the intervention, medication compliance and the scores of all dimensions of self-management improved with time in 2 groups, and the scores of all dimensions of self-management and medication compliance in the observation group were significantly better than that of control group(P＜0.05). The total incidence of adverse reactions in the observation group at the 2nd week of concurrent chemoradiotherapy was not statistically significant compared with the control group(P＞0.05), but it were significant lower in the observation group at the 4th and 6th week of concurrent chemoradiotherapy(P＜0.05). Conclusion: Health education based on information-motivation-behavioral skill model can improve patients’ medication compliance, improve their self-management efficacy level, and reduce adverse reactions during radiotherapy and chemotherapy.