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2024 ; 16
(7
): 2232-2241
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Effect of information-motivation-behavioral skills model based perioperative
nursing on pain in patients with gallstones
#MMPMID39087121
Ma L
; Yu Y
; Zhao BJ
; Yu YN
; Li Y
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2232-2241
PMID39087121
show ga
BACKGROUND: The incidence of cholecystolithiasis is on the rise. Use of
information, motivation, and behavioral skills can play a positive role in
promoting changes in individual health behaviors. However, reports on the effects
of information-motivation-behavioral (IMB) skills model based high-quality
nursing as a perioperative nursing intervention for patients with gallstones are
nonexistent. AIM: To explore the application of IMB skills model based
high-quality nursing in patients with gallstones. METHODS: Two hundred and
sixteen patients with cholecystolithiasis treated at our hospital from January
2022 to January 2023 were enrolled and divided into a control, high-quality, and
combined nursing groups, with 72 patients in each group. The control,
high-quality, and combination groups received conventional, high-quality, and IMB
skills model based perioperative nursing services, respectively. Differences in
clinical indicators, stress levels, degree of pain, emotional state, and quality
of life were observed, and complications and nursing satisfaction among the three
groups were evaluated. RESULTS: After nursing, the time to recovery of
gastrointestinal function in the high-quality and combined nursing groups was
significantly shorter than that of the control group, with the recovery of
gastrointestinal function being the fastest in the combined nursing group (P <
0.05). After nursing intervention, cortisol and norepinephrine levels in the
high-quality and combined nursing groups were closer to normal than those of the
control group 24 h after surgery, with the combined nursing group having the
closest to normal levels (P < 0.05). After 3 and 7 d of intervention, the
patients' pain significantly improved, which was more prominent in the
high-quality and combination groups. Meanwhile, the pain score in the combination
group was significantly lower than those of the control and high-quality nursing
groups (P < 0.05). After nursing intervention, the emotional states of all
patients improved, and the scores of patients in the combination group were
significantly lower than those of the control and high-quality nursing groups.
The quality of life of patients in the high-quality and combined nursing groups
significantly improved after nursing intervention compared to that of the control
group, with the combined nursing group having the highest quality of life score.
After intervention, the incidence of complications in the high-quality and
combination groups was significantly lower than that of the control group (P <
0.05), but the difference between the combination and high-quality nursing groups
was not significant. Nursing satisfaction of patients in the high-quality and
combination groups was significantly higher than that of the control group, with
the nursing satisfaction being the highest in the combination group (P < 0.05).
CONCLUSION: IMB skills model based nursing can improve surgical stress levels,
degrees of pain, emotional state, quality of life, and nursing satisfaction of
patients with gallstones and reduce the incidence of complications.
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