跨理论模型下的动机性访谈对PCI术后患者自觉健康控制行为的影响
Effect of Motivational Interview under the Cross-theoretical Model on the Self-conscious Health Control Behavior of Patients after PCI
王巧凤 1陈锋 1唐晓慧1
作者信息
- 1. 南京医科大学康达学院附属兴化医院心内科,江苏 泰州 225700
- 折叠
摘要
目的 探讨经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后开展跨理论模型下动机性访谈模式干预对患者自觉健康控制行为的影响.方法 前瞻性随机选取2023年1-12月于南京医科大学康达学院附属兴化医院进行PCI手术治疗的96例患者作为研究对象,根据不同护理方法将其分为对照组(48例,采取常规护理模式)和观察组(48例,采取跨理论模型下动机性访谈模式),对比两组患者的自觉健康控制行为、健康促进生活方式和生活质量.结果 出院后1 d、3 d、1个月,观察组患者自觉健康控制行为评分分别为(3.12±0.35)分、(3.86±0.14)分和(4.55±0.21)分,均高于对照组的(2.66±0.31)分、(3.20±0.16)分和(3.93±0.26)分,差异有统计学意义(t=6.816、21.508、12.852,P均<0.05).出院后,观察组健康促进生活方式评分和生活质量评分高于对照组,差异有统计学意义(P均<0.05).结论 PCI术后通过开展跨理论模型下动机性访谈模式干预能够有效增强患者自觉健康控制行为,提高生活质量.
Abstract
Objective To explore the effect of motivational interview under the cross-theoretical model intervention on patients'self-conscious health control behavior after percutaneous coronary intervention(PCI).Methods A total of 96 patients who underwent PCI in Xinghua Hospital Affiliated to Kangda College of Nanjing Medical University from January to December 2023 were prospective randomly selected as the research objects.According to different nursing methods,they were divided into control group(48 cases,routine nursing mode)and observation group(48 cases,moti-vational interview under cross-theoretical model).The self-conscious health control behavior and health promotion lifestyle of the patients of the two groups were compared.Results At 1 day,3 days and 1 month after discharge,the scores of self-conscious health control behavior in the observation group were(3.12±0.35)points,(3.86±0.14)points and(4.55±0.21)points,respectively,which were higher than those in the control group(2.66±0.31)points,(3.20±0.16)points and(3.93±0.26)points,the differences were statistically significant(t=6.816,21.508,12.852,all P<0.05).After discharged,the scores of health-promoting lifestyle and quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion After PCI,the inter-vention of motivational interview under the cross-theoretical model can effectively enhance the patients'self-conscious health control behavior and improve the quality of life.
关键词
跨理论模型/动机性访谈/经皮冠状动脉介入治疗/自觉健康控制行为Key words
Cross-theoretical models/Motivational interviews/Percutaneous coronary intervention/Self-conscious health control behavior引用本文复制引用
出版年
2024
NETL
NSTL
万方数据