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Application of the Information-Motivation-Behavioral Skill Model in the Perioperative Period of Pediatric Day-Case

Hainiao Xiao1, Huiya Ying2, Yixiao Wang2

  • 1Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

The Journal of Surgical Research
|July 16, 2025
PubMed

Insights

The Information-Motivation-Behavioral (IMB) Skills model effectively reduces preoperative anxiety and enhances surgical satisfaction in pediatric patients undergoing day-case surgery (DCS). This intervention improves knowledge, motivation, and behavioral skills, leading to better patient outcomes.

Area of Science:

  • Pediatric Surgery
  • Health Psychology
  • Nursing Interventions

Background:

  • Pediatric day-case surgery (DCS) is often associated with preoperative anxiety and poor adherence.
  • These issues can negatively impact health outcomes and patient satisfaction.
  • The Information-Motivation-Behavioral (IMB) Skills model offers a framework to address these challenges.

Purpose of the Study:

  • To investigate the impact of IMB model-based interventions on perioperative anxiety in pediatric patients undergoing DCS.
  • To evaluate the relationship between information, motivation, behavioral skills, and anxiety in this population.
  • To assess the effect of IMB interventions on patient satisfaction with treatment.

Main Methods:

  • A cross-sectional study involving 303 pediatric patients undergoing DCS.
  • Data collection included demographics, knowledge (information), motivation, and behavioral skills.
  • Patients were randomized into an IMB nursing intervention group or a standard care control group for comparison.

Main Results:

  • The IMB model factors significantly explained differences in anxiety states.
  • Knowledge, motivation, and behavioral skills directly impacted anxiety levels (P < 0.05).
  • The IMB nursing intervention group demonstrated lower anxiety and improved postoperative satisfaction.

Conclusions:

  • The IMB nursing model is effective in reducing anxiety among pediatric patients undergoing DCS.
  • This intervention also leads to enhanced surgical satisfaction in pediatric patients.
  • IMB-based strategies are valuable for improving the perioperative experience in pediatric surgery.
Abstract

Keywords:
AnxietyDay surgeryIMB modelNursingPreoperative

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