基于IMB模型的出院指导方案在肺癌根治术患者中的应用及效果评价

中华养生保健 ›› 2024, Vol. 42 ›› Issue (3): 11-15.

基于IMB模型的出院指导方案在肺癌根治术患者中的应用及效果评价

吴若嘉¹, 杨娇², 赵燕秋¹, 杨静¹, 董恺文¹, 沈楠¹, 杨秀梅^2,*

1.昆明医科大学第三附属医院（云南省肿瘤医院）胸外二科,云南昆明,650118;
2.昆明医科大学第三附属医院（云南省肿瘤医院）护理部,云南昆明,650118

出版日期:2024-02-01 发布日期:2024-01-23
通讯作者: ^*杨秀梅,E-mail：1393049293@qq.com。
作者简介:吴若嘉（1996—）,女,汉族,籍贯：云南省玉溪市,硕士研究生,护师,研究方向：胸部肿瘤外科方向。
基金资助:
2023年云南省教育厅科学研究基金项目（2023Y0764）; 2022年昆明医科大学教研教改课题（2022-JY-Y-115）; 2021年云南省科学技术厅-昆明医科大学基础研究联合资金项目（云南省科技厅科技计划项目）（202101AY070001-178）

Application and Effect Evaluation of Discharge Guidance Scheme Based on IMB Model in Patients Undergoing Radical Resection of Lung Cancer

WU Ruo-jia¹, YANG Jiao², ZHAO Yan-qiu¹, YANG Jing¹, DONG Kai-wen¹, SHEN Nan¹, YANG Xiu-mei^2,*

1. Department of Thoracic SurgeryⅡ, Yunnan Cancer Hospital, the Third Affiliated Hospital of Kunming Medical University, Kunming Yunnan 650118, China;
2. Department of Nursing, Yunnan Cancer Hospital, the Third Affiliated Hospital of Kunming Medical University, Kunming Yunnan 650118, China

Online:2024-02-01 Published:2024-01-23

摘要/Abstract

摘要： 目的探讨基于IMB模型的出院指导方案对肺癌围术期患者的应用效果。方法选取2021年4月—2021年10月云南省肿瘤医院收治的106例肺癌围术期患者为研究对象,按照入院先后顺序分为对照组和观察组,各53例。对照组予以常规出院指导,观察组实施基于IMB模型的出院指导干预。比较两组患者的一般资料、住院天数、出院准备度、出院指导质量。结果观察组住院天数短于对照组,差异有统计学意义（P<0.05）。观察组出院准备度各维度评分及总分高于对照组,差异有统计学意义（P<0.05）。观察组出院指导质量中获得信息维度、内容差维度、指导技巧、效果维度评分及总分均高于对照组,差异有统计学意义（P<0.05）;两组需要信息维度评分比较,差异无统计学意义（P>0.05）。结论基于IMB模型的出院指导方案可缩短患者住院时间,提高出院准备工作的质量和指导质量,还可以对改进临床护理质量和延续护理行动提供参考。

关键词: IMB模型, 肺癌根治术, 出院指导, 出院准备度, 效果评价

Abstract: Objective To investigate the application effect of discharge guidance scheme based on IMB model on perioperative patients with lung cancer. Methods A total of 106 patients who were admitted to the Department of Thoracic Surgery of Yunnan Cancer Hospital from April to October 2021 were selected. According to the order of admission, they were divided into control group and intervention group, with 53 cases in each group. The control group was given routine discharge guidance, and the intervention group was given discharge guidance intervention based on IMB model. The general data, the length of hospital stay, discharge readiness and discharge guidance quality of the two groups were compared. Results The comparison of the average length of hospital stay and discharge readiness scores between the two groups of patients showed that the observation group was better than the control group, and the difference was statistically significant (P<0.05). The score of discharge guidance quality of the two groups was superior to that of the control group in all sub-dimensions and total score except the dimension of need information (P<0.05). Conclusion The discharge guidance scheme based on IMB model can shorten the hospital stay of patients, improve the quality of discharge preparation and guidance, and provide reference for improving the quality of clinical nursing and continuing nursing action.

Key words: IMB model, thoracoscopic radical resection of lung cancer, discharge guidance, discharge readiness, nurse

中图分类号:

R473.6

吴若嘉, 杨娇, 赵燕秋, 杨静, 董恺文, 沈楠, 杨秀梅. 基于IMB模型的出院指导方案在肺癌根治术患者中的应用及效果评价[J]. 中华养生保健, 2024, 42(3): 11-15.

WU Ruo-jia, YANG Jiao, ZHAO Yan-qiu, YANG Jing, DONG Kai-wen, SHEN Nan, YANG Xiu-mei. Application and Effect Evaluation of Discharge Guidance Scheme Based on IMB Model in Patients Undergoing Radical Resection of Lung Cancer[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(3): 11-15.

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