Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction: A randomized controlled trial.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-08-26 DOI:10.12998/wjcc.v12.i24.5549
Xia Peng, Hui-Qin Ni, Yong-Mei Liu, Jin-Ling Zhu, Yu-Ting Bai
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Abstract

Background: Patients with stroke frequently experience pulmonary dysfunction.

Aim: To explore the effects of information-motivation-behavioral (IMB) skills model-based nursing care on pulmonary function, blood gas indices, complication rates, and quality of life (QoL) in stroke patients with pulmonary dysfunction.

Methods: We conducted a controlled study involving 120 stroke patients with pulmonary dysfunction. The control group received routine care, whereas the intervention group received IMB-model-based nursing care. Various parameters including pulmonary function, blood gas indices, complication rates, and QoL were assessed before and after the intervention.

Results: Baseline data of the control and intervention groups were comparable. Post-intervention, the IMB model-based care group showed significant improvements in pulmonary function indicators, forced expiratory volume in 1 sec, forced vital capacity, and peak expiratory flow compared with the control group. Blood gas indices, such as arterial oxygen pressure and arterial oxygen saturation, increased significantly, and arterial carbon dioxide partial. pressure decreased significantly in the IMB model-based care group compared with the control group. The intervention group also had a lower complication rate (6.67% vs 23.33%) and higher QoL scores across all domains than the control group.

Conclusion: IMB model-based nursing care significantly enhanced pulmonary function, improved blood gas indices, reduced complication rates, and improved the QoL of stroke patients with pulmonary dysfunction. Further research is needed to validate these results and to assess the long-term efficacy and broader applicability of the model.

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针对中风肺功能障碍患者的信息-动机-行为指导护理:随机对照试验。
背景:脑卒中患者经常出现肺功能障碍:目的:探讨基于信息-激励-行为(IMB)技能模式的护理对中风肺功能障碍患者肺功能、血气指标、并发症发生率和生活质量(QoL)的影响:我们对 120 名中风肺功能障碍患者进行了对照研究。对照组接受常规护理,干预组接受基于 IMB 模式的护理。对干预前后的肺功能、血气指数、并发症发生率和 QoL 等各项指标进行评估:结果:对照组和干预组的基线数据相当。干预后,与对照组相比,基于 IMB 模式的护理组在肺功能指标、1 秒用力呼气量、用力肺活量和呼气流量峰值方面均有显著改善。与对照组相比,干预组的血气指标,如动脉血氧压和动脉血氧饱和度明显增加,动脉二氧化碳分压明显下降。与对照组相比,干预组的并发症发生率更低(6.67% vs 23.33%),各方面的 QoL 评分更高:结论:基于 IMB 模式的护理能明显增强肺功能、改善血气指数、降低并发症发生率,并改善有肺功能障碍的脑卒中患者的 QoL。需要进一步的研究来验证这些结果,并评估该模式的长期疗效和更广泛的适用性。
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World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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