Application of information-motivation-behavior model in nursing care for patients with long-term indwelling bladder stoma

Abstract

Objective To investigate the application of information-motivation-behavior (IMB) model in nursing care for patients with long-term indwelling bladder stoma. Methods Totally 86 patients receiving long-term indwelling bladder stoma in the Department of Urinary Surgery, the Seventh Medical Center of Chinese PLA General Hospital from October 2015 to September 2017 were selected and divided into the control group (n=43) and the observation group (n=43) according to the random number table. Patients in the control group received conventional nursing care, while patients in the observation group received IMB-based health education on this basis. The self-care ability and quality of life of the two groups were assessed, and the incidence of complications during the follow-up was compared between the two groups after 12 months. Results The scores of self-care ability, self-responsibility, self-conception and health knowledge as well as the total score after 12 months' nursing care were higher than those before treatment. The scores of the observation group were (43.18±4.32) , (24.21±2.24) , (26.04±2.63) , (49.79±3.89) , and (143.22±6.82) , higher than those of the control group, which were (31.26±3.58) , (16.74±1.55) , (22.71±1.68) , (38.67±1.92) , and (109.38±5.04) , and there were statistically differences between the two groups (P<0.05) . The total incidence rate of complications of the observation group was lower than that of the control group (6.98% vs. 37.21%, P<0.05) . Conclusions The IMB model can enhance the self-care ability of patients with long-term indwelling bladder stoma, reduce the incidence of complications, and improve their quality of life effectively, which is worth promoting in clinical practice. Key words: Cystostomy; Quality of life; Self-care; Information-motivation-behavior; Complication