Effect of short video remote intervention based on WeChat group combined with IMB model in home care for patients with liver cirrhosis

doi:10.3760/cma.j.issn.1007-1245.2023.18.031

Abstract

Abstract:

Objective　To explore the effect of short video remote intervention based on WeChat group combined with IMB model in home care for patients with liver cirrhosis. Methods　Eighty patients with liver cirrhosis who were discharged from Bayannaoer Hospital from February 2018 to February 2021 were selected and divided into a control group and an observation group, with 40 cases in each group. In the control group, there were 18 males and 22 females who were (45.18±4.35) months old; the control group was intervened by IMB model. In the observation group ,there were 19 males and 21 females who were (45.78±3.67) months old; the observation group was intervened by short video based on WeChat group on the basis of the control group. The changes of general information, negative emotions, self-efficacy levels, and various quality of life levels were compared between the two groups. t and χ² tests were applied. Results　After the nursing, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group were better than those in the control group [(41.05±5.15) vs. (46.78±6.34) and (31.27±3.15) vs. (38.79±5.97)], with statistical differences (t=4.437 and 7.046; both P<0.05). After the nursing, the scores of self-care, reasonable rest, medication according to doctor's advice, health management, emotional control, and pain and discomfort control in the observation group were better than those in the control group [(8.01±1.52) vs. (7.16±1.24), (7.88±1.67) vs. (6.48±1.03), (8.34±2.64) vs. (7.16±1.24), (8.98±2.34) vs. (7.12±1.34), (8.21±1.42) vs. (6.24±1.24), and (8.67±1.67) vs. (7.11±1.03)], with statistical differences (t=2.741, 4.513, 2.559, 4.363, 6.609, and 5.028; all P<0.05). The scores of physiological function, physiological function, physical diseases, general health status, energy, social function, emotional function, and mental health in the observation group were higher than those in the control group [(87.49±7.57) vs. (64.27±6.48), (80.34±6.34) vs. (57.48±5.98), (85.49±7.34) vs. (62.24±6.48), (81.34±7.69) vs. (58.49±6.57), (88.67±6.37) vs. (64.27±5.37), (86.18±7.34) vs. (63.49±6.27), (88.49±6.34) vs. (63.18±5.34), and (90.15±7.34) vs. (67.68±6.34)], with statistical differences (t=14.738, 14.987, 15.018, 14.288, 18.522, 14.866, 19.311, and 14.652; all P<0.05). Conclusion　The application of short video remote intervention based on WeChat group combined with IMB model in home care for patients with liver cirrhosis can achieve remarkable intervention effect, improve their self-efficacy, self-care ability, and quality of life, and ease their negative emotions.

Key words:

Liver cirrhosis, Short video remote intervention based on WeChat group, IMB model, Home care

摘要：

目的　探讨肝硬化患者居家护理中应用微信群为基础的短视频远程干预联合IMB模型的效果。方法　选取2018年2月至2021年2月在巴彦淖尔市医院进行治疗后出院的肝硬化患者80例，分为对照组和观察组，各40例。对照组男18例、女22例，年龄（45.18±4.35）岁，给予IMB模型干预；观察组男19例、女21例，年龄（45.78±3.67）岁，在对照组基础上实施微信群为基础的短视频远程干预。干预3个月后比较两组患者负性情绪、自我效能水平及各项生活质量水平变化。统计学方法采用t检验、χ²检验。结果　护理后，观察组患者焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分均优于对照组［（41.05±5.15）分比（46.78±6.34）分、（31.27±3.15）分比（38.79±5.97）分］，差异均有统计学意义（t=4.437、7.046，均P<0.05）；观察组自我保健、合理休息、遵医嘱用药、健康管理、情绪控制及疼痛和不适控制评分均优于对照组［（8.01±1.52）分比（7.16±1.24）分、（7.88±1.67）分比（6.48±1.03）分、（8.34±2.64）分比（7.16±1.24）分、（8.98±2.34）分比（7.12±1.34）分、（8.21±1.42）分比（6.24±1.24）分、（8.67±1.67）分比（7.11±1.03）分］，差异均有统计学意义（t=2.741、4.513、2.559、4.363、6.609、5.028，均P<0.05）；观察组生理机能、生理职能、躯体疾病、一般健康状况、精力、社会功能、情感职能及精神健康评分均高于对照组［（87.49±7.57）分比（64.27±6.48）分、（80.34±6.34）分比（57.48±5.98）分、（85.49±7.34）分比（62.24±6.48）分、（81.34±7.69）分比（58.49±6.57）分、（88.67±6.37）分比（64.27±5.37）分、（86.18±7.34）分比（63.49±6.27）分、（88.49±6.34）分比（63.18±5.34）分、（90.15±7.34）分比（67.68±6.34）分］，差异均有统计学意义（t=14.738、14.987、15.018、14.288、18.522、14.866、19.311、14.652，均P<0.05）。结论　在肝硬化患者居家护理中应用微信群为基础的短视频远程干预联合IMB模型取得了显著的干预效果，在提高患者自我效能的同时，还能提高其自我护理能力，疏导负性情绪，提高生活质量。

关键词:

肝硬化, 微信群为基础的短视频远程干预, IMB模型, 居家护理

Kong Min, Jin Xin, Zhao Qin.

Effect of short video remote intervention based on WeChat group combined with IMB model in home care for patients with liver cirrhosis [J]. International Medicine and Health Guidance News, 2023, 29(18): 2649-2654.

孔敏靳欣赵琴.

微信群为基础的短视频远程干预联合IMB模型在肝硬化患者居家护理效果指导 [J]. 国际医药卫生导报, 2023, 29(18): 2649-2654.

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