Study Of Effects Of Individualized Medication Administration Regimen Based On IMB Model On Patients With Parkinson's Disease

Objective:1.To validate the effect of individualized medication administration regimen based on Information-Motivation-Behavioral Skills model on medication beliefs,self-efficacy,medication compliance and quality of life in patients with Parkinson's disease,and provide a new path for clinical nursing work.2.Through the implementation of individualized medication administration regimen to improve the patient's compliance with the status quo,so as to improve the patient's home drug self-management ability and quality of life.Method:This study was a randomized controlled trial.The Simple random sampling method was carried,a total of 100 patients with Parkinson' disease in a top three hospital of Dalian City was selected as experimental object,they were randomly assigned to 50 cases of experimental group and control group.The control group of patients received the routine medication guidance.The experimental group of patients received the individualized medication administration regimen based on IMB model except the routine medication guidance,intervened the medication information,motivation,and behavioral skills through the motivational interviews,textual information,and medication reminder devices and so on,to improve the patient's medication beliefs and self-efficacy,thereby improving the patient's medication behavior,and then improving the quality of life of patients.This study lasted for 3 months,the medication attitude,self-efficacy,medication behavior and quality of life were measured by the Beliefsabout Medication Questionnaire,the Chronic Disease Self-efficacy Scale,Morisky Medication Adherence Scale and The 39-item Parkinson's disease questionnaire when the patients into the group,two weeks after discharge,first month after discharge and third month after discharge.Results:1.Comparison of medication beliefs:The scores of medication beliefs were(4.85 ±3.55)and(4.69 ± 4.11)in the experimental and control groups before intervention.The two groups of patients with medication beliefs were improved after intervention,the rate of medication beliefs in the experimental group was higher than that in the control group(F=11.02,P < 0.05).The comparison between the two groups showed that medication beliefs scores of the patients in the experimental group at the each time points after intervention were significantly higher than those in the control group(t=2.206~3.309,P<0.05).2.Comparison of self-efficacy:The scores of self-efficacy were(5.81±1.99)and(5.71± 1.79)in the experimental and control groups before intervention.The two groups of patients with self-efficacy were improved after intervention,the rate of self-efficacy in the experimental group was higher than that in the control group(F=53.745,P<0.05).The comparison between the two groups showed that self-efficacy scores of the patients in the experimental group at the each time points after intervention were significantly higher than those in the control group(t=2.038~3.357,P<0.05).3.Comparison of medication compliance: The proportion of patients with high compliance was 32.25% and 24.49% in two groups before intervention.The highest compliance rate was 70.83% in the experimental group and 34.69% in the control group after intervention.The comparison between the two groups showed that the compliance of the patients in the experimental group was significantly higher than that in the control group at each time point(X2=9.760 ~ 14.168,P < 0.05).The results of the pairwise comparison at four time points showed that the compliance of the patients were no significant differences within the control group(X2=11.065,P>0.05).The results of the pairwise comparison at four time points showed that the compliance of the patients weresignificant differences within the experimental group(X2=29.161,P<0.05),the outcome of pairwise comparison showed that the compliance of the patients were significant differences at the three time points after discharge than that before intervention(X2=14.098~16.601,P<0.008).4.Comparison of medication beliefs : The scores of quality of life were(37.60±16.48)and(37.29±14.24)in the experimental and control groups before intervention.The two groups of patients with quality of life were improved after intervention,the rate of quality of life in the experimental group was higher than that in the control group(F=143.39,P<0.05).The comparison between the two groups showed that quality of life scores of the patients in the experimental group at the each time points after intervention were significantly higher than those in the control group(t=-2.146~-3.311,P<0.05).Conclusion:The individualized medication administration regimen based on IMB model can effectively improve the medication beliefs and self-efficacy,thereby improving patients' medication compliance,delay the development of the disease process,improve the quality of life of patients,and provide a new path for clinical management.