摘要目的:分析对老年慢阻肺患者实施基于信息-动机-行为技巧模型（IMB）居家护理的影响。方法:选取2017年10月至2018年10月无锡第五人民医院经治疗后好转出院的慢阻肺患者，以区组随机化法将其分为对照组和观察组。对照组予以常规健康教育、出院指导及出院后的复诊指导，观察组实施基于IMB的居家护理。比较两组干预前后的疾病认知水平、干预后的健康行为及干预前后的生活质量。结果:观察组干预后的布里斯托曼慢阻肺知识问卷（BCKQ）评分显著高于对照组［（58.36±6.68）比（52.14±5.80）分］（ P<0.05）；观察组干预后的健康促进生活方式量表-Ⅱ（HPLR-Ⅱ）中体育运动、健康责任、压力管理、营养、精神成长评分均显著高于对照组［（26.01±3.95）比（23.25±3.48）分，（38.65±4.33）比（34.64±4.05）分，（16.98±2.51）比（14.20±1.80）分，（19.87±2.20）比（15.65±3.51）分，（20.32±2.85）比（17.35±2.89）分］（均 P<0.05）；观察组干预后的圣-乔治呼吸问卷（SGRQ）中症状、活动能力、疾病影响评分均显著低于对照组［（40.32±4.30）比（45.36±4.50）分，（43.21±4.87）比（45.33±4.25）分，（38.41±4.37）比（42.35±4.01）分］（均 P<0.05）。 结论:基于IMB的居家护理可提高老年慢阻肺患者的疾病认知水平，改善其健康行为和生活质量。

abstractsObjective:To analyze the effect of implementing information-motivation-behavior skill model (IMB) home care in elderly patients with chronic obstructive pulmonary disease (COPD).Methods:From October 2017 to October 2018, patients with COPD who were discharged after treatment in Wuxi Fifth People′s Hospital were included and divided into control group and observation group by block randomization method. The control group was given routine health education, discharge guidance and follow-up guidance after discharge. The observation group received the information-motivation-behavior home care based on IMB. The general information before intervention, the level of disease cognition, quality of life before and after the intervention and the health behavior after the intervention were compared between the two groups.Results:The Bristol COPD Knowledge Questionnaire (BCKQ) score in the observation group was higher than that in the control group [(58.36±6.68) vs. (52.14±5.80) points] ( P<0.05). The scores of physical activity, health responsibility, stress management, nutrition, and spiritual growth in the Health Promoting Lifestyle Profile-Ⅱ (HPLR-Ⅱ) after the intervention in the observation group were higher than those in the control group [(26.01±3.95) vs. (23.25±3.48) points, (38.65±4.33) vs. (34.64±4.05) points, (16.98±2.51) vs. (14.20±1.80) points, (19.87±2.20) vs. (15.65±3.51) points, (20.32±2.85) vs. (17.35±2.89) points] ( P<0.05). The symptoms, mobility, and disease impact scores of the St George′s Respiratory Questionnaire (SGRQ) in the observation group were lower than those in the control group [(40.32±4.30) vs. (45.36±4.50) points, (43.21±4.87) vs.(45.33±4.25) points, (38.41±4.37) vs. (42.35±4.01) points] (all P<0.05). Conclusion:Implementing the home care model based on IMB in elderly patients with COPD can improve patients′ disease awareness and improve their health behaviors and quality of life.