Effects of health education based on information-motivation-behavior model in elderly inpatients with coronary disease

Abstract

Objective To explore the effects of health education based on information-motivation-behavior (IMB) skill model in elderly inpatients with coronary disease, so as to provide a basis for clinical nursing care. Methods From January 2014 to December 2015, we selected a total of 122 elderly inpatients with coronary heart disease from Tianjin Medical University General Hospital. All of the patients were divided into two groups according to the random number table, 61 cases in each group. Patients in control group accepted usual nursing. On that basis, patients in observation group were treated with health education based on IMB skill model. The SAS, SDS, Self-Management Instrument Scale and Self-Efficacy Scale were used to compared the anxiety, depression, self-management and self-efficacy of patients between two groups by complete survey. Results Two months after intervention, the score of anxiety and depression of patients in observation group was (36.41±3.17) and (35.22±3.29) respectively, lower than those in control group with significant differences (t=-13.486, -15.312; P<0.01) . The score of daily life management and emotional management of patients in observation group was (41.33±2.91) and (24.77±3.01) respectively, lower than those in control group with significant differences (t=19.193, 17.894; P<0.01) . There was a significant difference in the score of self-efficacy between observation group (17.55±4.25) and control group (14.14±4.13) (t=13.715, P<0.01) . Conclusions The health education based on IMB skill model has a positive role in relieving negative emotions and improving self-management ability among elderly inpatients with coronary heart disease. The intervention could be used in clinic so as to improve the nursing effects of elderly inpatients with coronary heart disease. Key words: Health education; Information-motivation-behavior model; Coronary heart disease; Self-management; Self efficacy