基于信息－动机－行为技巧模型的早期康复护理在机器人辅助骨样骨瘤切除术中的应用

打开文本图片集

中图分类号R687.3R473.6 文献标识码A 文章编号2096-7721（2025）11-1883-07

Applicationof earlyrehabilitation nursing based on informationmotivation-behavior skills model in patients undergoing robot-assisted resection of osteoid osteoma

ZHANGHua， YAO Jinnan，YANG Yongkun

（DepartmentofBoneOncology，BeijingJishuitanHospitalAffliatedtoCapitalMedicalUniversity，BeijingO2208，Cina）

AbstractObjective：Toanalyzetheapplicationeffectofearlyrehabilitationnursingbasedoninformation-motivation-behavior skills（IMB）modelinpatintsundergoingrobot-asistedresetionofosteidsteoma.Methods：8Opatntswithosteidosteoawho underwentrobot-asistedresectinateijingJisuitanHospialAfliatedtoCapitalMedicalUnvesityfrougust22toeber 2024 were enrolled. They were divided into the observation group （ n =40，receiving early rehabilitation nursing based on IMB model） and thecontrolgroup（n=4Oeivingroutineabilitationursing）usingtandoumbertablemethd.Allpatintsceedieti untildischargeSelf-icacyaltpromotingeaviors，gatiotios，pinlvels，andlibfunctionereomparedente twogroups.Results：Aeursgorofslacfabliatiooutcoescale（ER）andselfatedabitforhpractic scale （SRAHP）were increased inthetwo groups，andthey were higherin the observation groupthan thecontrol group（ P <0.05）. Compared tothateforeursing，tesoresofself-ratiganxietyscale （SAS）andsef-ratingdepressionsale （SD）weredecreasedinbothgoups after nursing （P<0.05） ， and the observation group had lower SAS and SDS scores than the control group after nursing （ P <0.05）. Compared to that before nursing，the visual analogue scale （VAS）scores decreased in the two groups after nursing P <0.05），and the observation group had lower VAS scores than the control group （P<0.05） .Compared to that before nursing，the musculoskeletal tumor society （MSTS） scores for limb function increased in the two groups after nursing （P<0.05） ，and the observation group had higher MSTS scores than the control group （P<0.05） . Conclusion： Early rehabilitation nursing based on the IMB model can efectively alleviate pain and negative emotions， improverehabilitionself-fcacyealtromtingavios，ndlifuctioninpatntsdergngbotasistedof osteoid osteoma.

Key WordsOsteoidOsteoma; Information-motivation-behaviorSkills Model; Robot-assisted Surgery; Rehabilitation

骨样骨瘤是一种好发于儿童和青少年的良性骨肿瘤，以夜间加剧的持续性疼痛和局部肿胀为主要临床特征，严重影响患者的日常活动及睡眠质量[1-3]。（剩余11135字）