Liu JL, Wang WH, Qiu YS. Application of information-motivation-behavioral skill model evidence-based nursing combined with cognitive behavioral intervention in children after brain tumor surgery. World J Psychiatry 2026; 16(5): 114121 [DOI: 10.5498/wjp.v16.i5.114121]
Corresponding Author of This Article
Yong-Sheng Qiu, Deputy Director, Department of Anesthesiology and Perioperative Medicine, Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s Hospital, No. 33 Outer Ring East Road, Zhengzhou 450053, Henan Province, China. okljl521@163.com
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Anesthesiology
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Observational Study
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May 19, 2026 (publication date) through May 5, 2026
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World Journal of Psychiatry
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2220-3206
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Liu JL, Wang WH, Qiu YS. Application of information-motivation-behavioral skill model evidence-based nursing combined with cognitive behavioral intervention in children after brain tumor surgery. World J Psychiatry 2026; 16(5): 114121 [DOI: 10.5498/wjp.v16.i5.114121]
World J Psychiatry. May 19, 2026; 16(5): 114121 Published online May 19, 2026. doi: 10.5498/wjp.v16.i5.114121
Application of information-motivation-behavioral skill model evidence-based nursing combined with cognitive behavioral intervention in children after brain tumor surgery
Jing-Lu Liu, Wen-Hua Wang, Yong-Sheng Qiu
Jing-Lu Liu, Wen-Hua Wang, Yong-Sheng Qiu, Department of Anesthesiology and Perioperative Medicine, Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s Hospital, Zhengzhou 450053, Henan Province, China
Author contributions: Liu JL contributed to data collection and paper writing; Wang WH and Qiu YS were responsible for funding application, reviewing and editing, communication coordination, ethical review, copyright and licensing, and follow-up; Liu JL, Wang WH, and Qiu YS contributed to research design and data analysis; and all authors have read and approve the final manuscript.
Institutional review board statement: The research was reviewed and approved by the Ethics Committee of Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s Hospital (No. 2024-H-K17).
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: No other data available.
Corresponding author: Yong-Sheng Qiu, Deputy Director, Department of Anesthesiology and Perioperative Medicine, Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s Hospital, No. 33 Outer Ring East Road, Zhengzhou 450053, Henan Province, China. okljl521@163.com
Received: October 17, 2025 Revised: November 17, 2025 Accepted: February 2, 2026 Published online: May 19, 2026 Processing time: 194 Days and 0.7 Hours
Abstract
BACKGROUND
Brain tumor resection under general anesthesia is the core treatment for intracranial tumors in children, but postoperative pain, anxiety, and poor compliance with rehabilitation care have become key factors affecting the prognosis of children. Because children’s cognitive development is immature, they have a stronger fear response to surgical trauma, which may cause long-term psychological trauma. As a mature behavioral change theoretical framework, the information-motivation-behavior (IMB) skills model is still blank in neurosurgery research. Based on this model, this study integrates evidence-based nursing and cognitive behavioral intervention to explore its impact on children after brain tumor resection under general anesthesia.
AIM
To study the application of evidence-based nursing and cognitive behavioral intervention based on the IMB model in the children.
METHODS
Ninety children undergoing brain tumor resection under general anesthesia at the hospital between January 2024 and January 2025 were randomly divided into a control group and an observation group, 45 cases in each group. The control group received routine perioperative care. The observation group, on the other hand, received an integrated program based on the IMB model, supported by evidence-based nursing. SPSS22.0 software was used for data analysis, and P < 0.05 was regarded as a statistically significant difference.
RESULTS
Following attrition, 40 controls and 42 intervention subjects finished follow-up. Eight weeks later, the intervention cohort showed markedly superior Functional Independence Measure for Children and Gesell Developmental Scales results (P < 0.05) and outperformed controls on all PedsQL™ dimensions: Physical, emotional, social, and role functioning (P < 0.05). Parents’ overall disease knowledge mastery rate was 97.62% in the observation group, higher than 80.00% in the control group (P < 0.05). Parent satisfaction was 97.62% in the observation group, higher than 77.50% in the control group (P < 0.05).
CONCLUSION
The IMB model-based integrated care effectively promotes neurological recovery, improves quality of life, and enhances parental knowledge and satisfaction in children after brain tumor surgery.
Core Tip: This study pioneered a comprehensive intervention based on the information-motivation-behavior model, integrating evidence-based nursing with cognitive behavioral therapy for the resection of brain tumors in children. It uniquely addresses the triple problems of information, motivation and behavioral skills through tailor-made development strategies (such as three-dimensional animation education, gamified rewards, etc.), demonstrating outstanding results in neural recovery and family empowerment. The innovation of this model lies in connecting psychological and physical rehabilitation, providing a replicable framework for pediatric neurosurgical care.
