The impact of IMB model nursing on the nursing outcome of patients with chronic heart failure and arrhythmia
IMB模式护理对慢性心力衰竭合并心律失常患者护理效果的影响

摘要

目的 探究信息-动机-行为技巧（IMB）模式护理在慢性心力衰竭合并心律失常患者中的应用价值，旨在为临床护理方案的革新及患者预后的改善提供循证支撑。方法 选取2023年1月到2024年6月期间，在本院治疗的80例慢性心力衰竭合并心律失常患者，随机分两组各40例。对照组采用常规护理干预，观察组在常规护理基础上实施IMB模式护理，比较两组不良心血管事件发生率及护理满意度。结果 观察组护理满意度为97.50%，显著高于对照组的82.50%，差异有统计学意义（P＜0.05）；观察组不良心血管事件总发生率显著低于对照组，差异有统计学意义（P＜0.05）。结论 IMB模式护理可有效改善慢性心力衰竭合并心律失常患者的心功能，提升自我管理能力，降低不良心血管事件发生率，提高护理满意度，具有重要的临床应用价值。

Abstract

Objective To explore the application value of the Information-Motivation-Behavioral Skills (IMB) model of nursing in patients with chronic heart failure and arrhythmia, aiming to provide evidence-based support for the innovation of clinical nursing plans and the improvement of patient prognosis.
Methods 80 patients with both chronic heart failure and arrhythmia who were treated in our hospital from January 2023 to June 2024 were selected and randomly divided into two groups, with 40 cases in each group. The control group received routine nursing intervention, while the observation group received IMB model nursing in addition to the routine care. The incidence of adverse cardiovascular events and nursing satisfaction were compared between the two groups.
Results The nursing satisfaction of the observation group was 97.50%, significantly higher than that of the control group (82.50%), and the difference was statistically significant (P < 0.05); the total incidence of adverse cardiovascular events in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05).
Conclusion   IMB model nursing can effectively improve the cardiac function of patients with chronic heart failure and arrhythmia, enhance self-management ability, reduce the incidence of adverse cardiovascular events, improve nursing satisfaction, and has important clinical application value.