Application of Nursing Intervention of Information-motivation-behavior Model in Postoperative Rehabilitation of Knee Joint Replacement in Patients with Unilateral Posterior Chamber Degeneration
LIANG Ping, ZHOU Qin-xi, GUO Jin, et al
Sichuan Guangyuan Central Hospital , Guangyuan, Sichuan 628000 China
Abstract：【Objective】To explore the application value of nursing intervention of information-motivation-behavior (IMB) model in postoperative rehabilitation of knee joint replacement in patients with unilateral posterior chamber degeneration of knee joint. 【Methods】A total of 90 cases of internal single compartment degeneration in the knee joint of our hospital were selected and divided into the observation and control groups according to the random number table method. Patients in the control group received routine nursing intervention, while patients in the observation group were treated with nursing intervention of IMB model on the basis of routine nursing. The self-efficacy rating (SER) score, the self-rating Anxiety Scale (SAS) score, the self-rating of Depression Scale (SDS) score, the change of the knee joint function (HSS) score and the compliance behavior before and after the intervention of two groups were observed and compared. The postoperative complications and nursing satisfaction were also compared between the two groups. 【Results】After intervention, the SER score of the observation group was higher than that of the control group, while the scores of SAS and SDS were lower than those of the control group(P<0.05). The total compliance rate of the observation group was 95.56% (43/45), which was higher than that of the control group 77.78% (35/45)(P<0.05). After intervention, the HSS scores of the two groups were higher than those before intervention, and the HSS score of the observation group was higher than that of the control group(P<0.05). The complication rate in the observation group was 2.22% (1/45), which was lower than that in the control group 17.78% (8/45)(P<0.05). The nursing satisfaction of the observation group was 97.78% (44/45), which was higher than that of the control group 80% (36/45)(P<0.05). 【Conclusion】The nursing intervention of IMB model after knee joint replacement surgery can improve the negative psychological emotion of the patients with unilateral compartment degeneration, improve their self-efficacy and compliance behavior, reduce the incidence of complications, and promote the recovery of the knee joint function. In addition, it has high nursing satisfaction and is worthy of clinical application.
2018, Vol. 35 
