动机性访谈对经皮冠状动脉介入治疗术后 患者自我管理能力的影响
| 作者: |
1岳伟伟,
2施雁,
3姜金霞
1 同济大学附属第十人民医院心内科，上海 200072 2 同济大学附属第十人民医院护理部，上海 200072 3 同济大学附属第十人民医院急诊科，上海 200072 |
| 通讯: |
姜金霞
Email: ame@amegroups.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.07.027 |
| 基金: | 国家自然科学基金(71373177)。 |
摘要
目的： 探讨动机性访谈(moti v a t i o n a l i n te r v i ewi ng ，MI ) 对冠心病经皮冠状动脉介入治疗 (percutaneous coronary intervention，PCI)术后患者自我管理能力的影响。方法：选取同济大学附 属第十人民医院PCI术后199例患者为研究对象，随机分为干预组(100例)与对照组(99例)。对照组 采用常规健康教育，干预组采用跨理论模型架构的评估方法，在常规健康教育基础上实施MI，比 较两组干预前后自我管理能力水平。结果：出院6个月后，干预组患者的自我管理行为改变阶段优 于对照组(P<0.01)；两组患者自我管理总分及各维度评分较干预前差异有统计学意义(P<0.01)；且 干预组效果优于对照组(P<0.05)。结论：MI可有效提高冠心病患者PCI术后患者的自我管理水平。
关键词：
动机性访谈；经皮冠状动脉介入治疗；自我管理
Effect of motivational interviewing on self-management in patients with coronary heart disease after percutaneous coronary intervention
CorrespondingAuthor: JIANG Jinxia Email: ame@amegroups.com
DOI: 10.3978/j.issn.2095-6959.2018.07.027
Foundation: This work was supported by the National Natural Science Foundation of China (71373177).
Abstract
Objective: To explore of the effect of the motivational interviewing (MI) on self-management in patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods: A total of 199 patients after PCI who were hospitalized in the cardiology department of Tenth People’s Hospital were selected in the study. According to the random number table, the participants were divided into the intervention group (n=100) and the control group (n=99). The control group received conventional health education while the intervention group received education based on the trans-theoretical model of change, compare the levels of self-management before and after intervention. Results: Six months after discharge, the intervention group was better than the control group in self-management behavior (P<0.01). There were significant differences in self-manage in the 2 groups after intervention (P<0.01), but the score in the intervention group was better than that in the control group (P<0.05). Conclusion: MI can effectively improve the self-management in patients with coronary heart disease after PCI.
Keywords：
motivational interviewing; percutaneous coronary intervention; self-management