摘要
目的 探讨动机性访谈干预对社区老年高血压患者自我管理行为的影响。方法 2021年1-2月选取成都某社区老年高血压患者128例,随机分成试验组60例(脱落4例)和对照组61例(脱落3例),试验组给予动机性访谈,对照组给予社区常规健康教育,均干预6个月,干预前后采用简易疾病认知问卷、高血压患者自我管理行为测评量表、中文版积极老龄化量表进行评价。结果 干预后,试验组疾病认知总分、高血压患者自我管理行为总分及6个维度(饮食管理、运动管理、用药管理、情绪管理、工作与休息管理和病情监测)得分、积极老龄化总分及4个维度(开发心灵智慧、积极融入社会、保持健康生活方式、巩固家庭关系)得分均高于对照组,差异均有统计学意义(P <0.05)。结论动机性访谈有助于社区老年高血压患者提高疾病认知、改善自我管理行为、并积极融入社会。
Objective To study effect of intervention of motivational interviews on self-management behavior of elderly hypertensive patients in community. Methods One hundred and twenty-eight elderly patients with hypertension in a community in Chengdu were selected and randomly divided into experimental group with 60 cases(there were 4 cases of shedding) and control group with 61 cases(there were 3 cases of shedding) from January to February 2021. The experimental group was given motivational interview and the control group was given routine health education in the community both for 6months. Simple questionnaire of disease cognition, hypertension self-management behavior scale and Chinese version of positive aging scale were used to evaluate before and after the intervention.Results After the intervention, the total score of disease cognition, the total score of self-management behavior in hypertensive patients and the score of six dimensions including diet management, exercise management, medication management, emotional management, work and rest management and disease monitoring, the total score of positive aging and the score of 4 dimensions including developing spiritual wisdom, actively integrating into society, maintaining a healthy lifestyle, and consolidating family relations in experimental group were higher than those of the control group(P < 0.05). Conclusions Motivational interviews can help elderly hypertensive patients in community improve their disease cognition, self-management behavior, and integrate into society actively.
作者
雷诗云
杨玲娜
胡剑锋
罗莉
曾镜颐
刘荣
LEI Shiyun;YANG Lingna;HU Jianfeng;LUO Li;ZENG Jingyi;LIU Rong(Chengdu University of TCM,Chengdu,Sichuan 611137;Sichuan Nursing Vocational College,Chengdu,Sichuan 610100)
出处
《智慧健康》
2022年第10期172-175,共4页
Smart Healthcare
基金
四川省医学青年创新科研课题计划,课题名称:借助引入非国有资产的PPP模式在医养结合社区老年常见病照护的应用研究,课题编号:Q20022
四川省中医药管理局课题,课题名称:社区老人分级照护评价体系的应用研究,课题编号:2021MS095
四川护理职业学院自然科学与技术类课题,课题名称:动机性访谈对社区老年高血压患者自我管理行为的干预研究,课题编号:2021ZRY22。
关键词
动机性访谈
老年高血压
自我管理
疾病认知
社区干预
Motivational interview
Elderly hypertension
Self-management
Disease cognition
Intervention in the Community
