ABSTRACT
Objective:
This study aims to analyze the application effect of IMB (Information-
Motivation-Behavioral skills) model
rehabilitation nursing, which focuses on enhancing
patient knowledge,
motivation, and skills for
disease management in
patients with diabetes and
end-stage renal disease receiving
maintenance hemodialysis and its impact on the
patient's
nutritional status.
Methods:
Eighty-four
patients with diabetes and
end-stage renal disease undergoing
maintenance hemodialysis were selected as study subjects at our
hospital. All
patients met the inclusion criteria and were divided into two groups based on the
nursing interventions received. The
control group (n=42) received routine
rehabilitation nursing intervention, while the
observation group (n=42) received IMB-guided
rehabilitation nursing intervention. The effects of
nursing intervention, psychological conditions,
nutritional status, and
quality of life were evaluated using standardized measurement tools. Psychological conditions were assessed using the
Self-Rating
Anxiety Scale (SAS) and
Self-Rating
Depression Scale (SDS).
Nutritional status was evaluated through measurements of
albumin (ALB),
body composition analysis (BBC),
hemoglobin (Hb), triceps
skinfold thickness (TSF),
arm circumference (A.C.), and
arm muscle circumference (AMC).
Quality of life was assessed using the SF-36
Health Survey. Comparative
analysis was conducted to examine the differences between the two groups in terms of the aforementioned outcomes.
Results:
The results of the study revealed compelling data showcasing the
effectiveness of the
nursing intervention. Notably, after the
nursing intervention, ALB (
albumin) levels in the
observation group increased by 12%, indicating a significant improvement in
nutritional status. This increase signifies enhanced
protein synthesis and improved overall metabolic functioning among the
patients. Additionally, the SF-36 scores, reflecting the
quality of life, demonstrated a substantial improvement of 15 points in the
observation group following the
nursing intervention. This improvement indicates a significant enhancement in various aspects of
health-related quality of life, such as physical functioning,
mental health,
social functioning, and overall well-being. Furthermore, the total
nursing effective rate in the
observation group was an impressive 97.62%, surpassing the 80.95% rate in the
control group. This statistically significant difference (P < .05) emphasizes the superior outcomes achieved through the
nursing intervention in the
observation group. Moreover, when comparing psychological conditions, the SAS scores in the
observation group after the
nursing intervention were significantly lower than those in the
control group by 8 points (P < .05). Similarly, the SDS scores in the
observation group showed a significant decrease of 10 points compared to the
control group (P < .05). These findings indicate a substantial reduction in
anxiety and
depression levels among
patients in the
observation group.
Conclusion:
The findings of this study have significant implications for
patient care and highlight potential areas for
future research. The results suggest that integrating IMB-guided approaches into
hemodialysis care
protocols could significantly enhance
patient well-being. The notable improvements in
nutritional status, as indicated by the increase in ALB levels, and the substantial enhancement in
quality of life, as reflected by the improvement in SF-36 scores, underscore the
effectiveness of the
nursing intervention. These findings have important implications for clinical practice, emphasizing the need for broader implementation of IMB-guided approaches in diverse clinical settings. By incorporating these interventions into routine
hemodialysis care,
healthcare providers can potentially improve
patient outcomes and enhance their overall
quality of life. Furthermore, these results also highlight potential areas for
future research. Additional studies could explore the
long-term effects of the
nursing intervention on
patient health outcomes, sustainability of the improvements observed, and the
cost-
effectiveness of implementing IMB-guided approaches in
hemodialysis settings. Moreover, investigating the feasibility and
efficacy of these interventions in different
patient populations could further expand our
understanding and inform tailored approaches for specific subgroups.