Table5_Application of IMB model in preventing venous thromboembolism in elderly lung cancer patients.docx

ObjectiveThis study aims to explore the effects of the Information-Motivation-Behavioral (IMB) Skills Model on the prevention of Venous Thromboembolism (VTE) in elderly lung cancer patients. MethodsA convenience sampling method was used to select study participants who were hospitalized for treatment between November 2022 and August 2023 at a tertiary hospital in Neijiang and met the inclusion and exclusion criteria. The control group (n = 41) received conventional health education, while the intervention group (n = 40) received health education based on the IMB Skills Model over three months. The scores of the Venous Thrombosis Knowledge, Participation in Thrombosis Prevention Willingness and Behavior Questionnaire, and Quality of Life Measurement Scale (QLQ-C30) were compared before the intervention and after three months. After three months of intervention, the hospital satisfaction and VTE incidence rates in both groups were investigated and compared. ResultsAfter three months of intervention, the scores for the Venous Thrombosis Knowledge, (Participation in Thrombosis Prevention Willingness and Behavior Questionnaire in the intervention group were higher than those in the control group (P < 0.05). The QLQ-C30 scores in the intervention group for physical function, role function, emotional function, insomnia, appetite loss, and overall health status were higher than those in the control group (P < 0.05). The intervention group rated higher in doctor's professional skills, information provision, accessibility; nurse's professional skills, humanistic care, information provision, accessibility; team communication, services of other personnel, overall satisfaction compared to the control group (P < 0.05). The rate of VTE in the intervention group was 2.5%(1/40), and that in the control group was 19.5%(8/41). There was a significant difference (χ2 = 4.336, P = 0.037). ConclusionNursing interventions based on the IMB Skills Model for elderly lung cancer patients can enhance patients’ understanding of venous thrombosis, increase willingness and active participation in thrombosis prevention, improve quality of life, increase hospital satisfaction, and reduce the incidence of VTE.研究目的：本研究旨在探讨信息-动机-行为（IMB）技能模型（Information-Motivation-Behavioral Skills Model）对老年肺癌患者静脉血栓栓塞症（Venous Thromboembolism, VTE）预防的干预效果。 研究方法：采用便利抽样法，选取2022年11月至2023年8月期间，在内江市某三级医院住院治疗且符合纳入排除标准的研究对象。对照组（n=41）接受常规健康教育，干预组（n=40）接受为期3个月的基于IMB技能模型的健康教育。分别于干预前及干预3个月后，比较两组的静脉血栓知识得分、血栓预防参与意愿与行为问卷得分及生活质量测定量表QLQ-C30（QLQ-C30）评分；干预3个月后，调查并比较两组的医院满意度及VTE发生率。 研究结果：干预3个月后，干预组的静脉血栓知识评分、血栓预防参与意愿与行为问卷得分均高于对照组（P<0.05）；干预组QLQ-C30量表中躯体功能、角色功能、情绪功能、失眠症状、食欲减退及总体健康状况的评分均高于对照组（P<0.05）。在医院满意度方面，干预组在医生专业技能、信息提供、服务可及性，护士专业技能、人文关怀、信息提供、服务可及性，团队沟通、其他人员服务及总体满意度维度的评分均高于对照组（P<0.05）。干预组VTE发生率为2.5%（1/40），对照组为19.5%（8/41），组间差异具有统计学意义（χ²=4.336，P=0.037）。 研究结论：针对老年肺癌患者实施基于IMB技能模型的护理干预，可提升患者对静脉血栓的认知水平，增强其血栓预防的意愿与主动参与度，改善患者生活质量，提高医院满意度，并降低VTE的发生率。