摘要目的:探究基于信息-动机-行为（IBM）模型下的综合护理在预防妇科恶性肿瘤术后尿潴留中的应用效果。方法:选取2017年1月至2019年6月本院收治的80例妇科恶性肿瘤患者作为研究对象，按照随机数字表法分为干预组与对照组，各40例。对照组患者行常规护理干预，干预组在对照组基础上给予IBM模式的综合护理干预，干预时间为3个月，比较分析两组患者术后首次拔管残尿量、住院时间、生活质量、尿潴留及尿路感染发生率的情况。结果:干预组患者首次拔管残尿量为（42.56±9.89）ml、住院时间为（9.42±4.39）d、生活质量评分为（74.20±8.53）分，均明显优于对照组[分别为（67.90±10.21）ml、（17.31±5.48）d和（63.86±9.42）分] ，差异均有统计学意义（均 P<0.05）；干预组患者术后尿潴留发生率为5.00%，尿路感染率为2.50%，均显著低于对照组（分别为15.00%和12.50%），差异均有统计学意义（均 P<0.05）。 结论:基于IBM模型下的综合护理应用于妇科恶性肿瘤患者，不仅能有效降低术后尿潴留和尿路感染发生率，还可以缩短住院时间，改善生活质量和预后。

abstractsObjective:To explore the value of applying comprehensive nursing based on information-motivation-behavior (IBM) model in the prevention of postoperative urinary retention in patients with gynecologic malignant tumors.Methods:80 patients with gynecologic malignant tumors admitted to our hospital from January, 2017 to June, 2019 were selected as study objects. According to the random number table method, they were divided into an intervention group and a control group, 40 cases for each group. The control group received routine nursing intervention; in addition, the intervention group was given a comprehensive nursing intervention based on information-motivation-behavior model. The intervention time was 3 months. The residual urine volumes after the first postoperative extubation, hospitalization times, quality of life, incidences of urinary retention and urinary tract infection were compared between these two groups.Results:The residual urine volume after the first postoperative extubation, hospitalization time, life quality score were significantly better in the intervention group than in the control group [(42.56±9.89) ml vs. (67.90±10.21) ml, (9.42±4.39) d vs. (17.31±5.48) d, and (74.20±8.53) vs. (63.86±9.42); all P<0.05]. The incidences of postoperative urinary retention and urinary tract infection were significantly lower in the intervention group than in the control group (5.00% vs. 15.00% and 2.50% vs. 12.50%; both P<0.05). Conclusion:Comprehensive nursing based on IBM model for patients with gynecological malignant tumors not only effectively reduces the incidences of postoperative urinary retention and urinary tract infection, but also shortens the length of hospital stay and improves their quality of life and prognosis.