摘要
目的探讨动机性访谈结合跨理论模型在冠心病患者自我照顾中的应用效果。方法采用方便抽样法,选取2016年8月-2017年4月在南京医科大学附属无锡第二医院进行诊疗的77例冠心病患者作为研究对象,采用随机数字表法随机分为对照组(n=38)和观察组(n=39),分别进行常规健康教育和动机性访谈结合跨理论模型的健康教育。比较两组患者干预前后自我效能、自我管理能力、射血分数及异常性左室节段性室壁运动(RWMA)发生例数。结果观察组冠心病患者干预后自我效能及自我管理能力得分分别为(39.12±5.98)、(88.88±5.01)分,高于对照组的(31.04±6.59)、(81.00±4.25)分,差异有统计学意义(P<0.01)。观察组干预后射血分数高于对照组,对照组RWMA发生例数高于观察组,差异有统计学意义(P<0.05)。结论在冠心病患者自我照顾中运用动机性访谈结合跨理论模型能有效提高患者的自我效能及自我管理能力,值得临床推广应用。
Objective To explore the application effect of motivational interview combined withtranstheoretical model in self-care of patients with coronary heart disease. Methods From August 2016 toApril 2017, a total of 77 patients with coronary heart disease diagnosed in Wuxi Second Hospital Affiliated toNanjing Medical University were selected by convenience sampling method, and randomly divided into controlgroup (n=38) and observation group (n=39) by random number table. The two groups were given traditionalhealth education and motivational interview combined with transtheoretical model health education. The self-efficacy, self-management ability, ejection fraction and regional wall motion abnormality (RWMA) werecompared between the two groups before and after intervention. Results The scores of self-efficacy and self-management ability of patients with coronary heart disease in the observation group were (39.12±5.98) and(88.88±5.01) respectively, which were significantly higher than those in the control group (31.04±6.59) and(81.00±4.25). The differences were statistically significant (P<0.01). The ejection fraction of the observationgroup was higher than that of the control group, and the number of RWMA cases in the control group was higherthan that in the observation group. The difference was statistically significant (P<0.05). Conclusions Usingmotivated interviews combined with cross-theoretical models in self-care of patients with coronary heart diseasecan effectively improve patients' self-efficacy and self-management ability,it is worthy of clinical promotion.
作者
陈丽娜
周焕芳
Chen Li'na;Zhou Huanfang(General Practice Department,Wuxi Second Hospital Affiliated to Nanfing Medical University,Wuxi 214002, China;Nursing Department,Wuxi Second Hospital Affiliated to Nanfing Medical University,Wuxi 214002,China)
出处
《中华现代护理杂志》
2018年第30期3677-3681,共5页
Chinese Journal of Modern Nursing
关键词
护理
冠心病
动机性访谈
跨理论模型
自我照顾
Nursing care
Coronary heart disease
Motivational interview
Transtheoreticalmodel
Self-care
