动机性访谈对经皮冠状动脉介入术后患者康复运动的影响  

Effect of motivational interview on the rehabilitative exercise for patients after percutaneous coronaryintervention

作　　者：梁培荣[1] 薛小玲[2] 李晴[1] 陈小芳 

机构地区：[1]苏州大学护理学院,215006 [2]苏州大学附属第一医院护理部,215006 [3]苏州市工业园区疾病防治中心,215021

出　　处：《中华现代护理杂志》2012年第35期4253-4256,共4页Chinese Journal of Modern Nursing

基　　金：苏州市科技发展计划（社会发展）资助项目（SYSD2011126）

摘　　要：目的探讨运用动机性访谈对经皮冠状动脉介入（PCI）术后患者康复运动干预的效果。方法采用方便取样法，在苏州市某医院选取132例住院治疗的PCI术后患者，按随机数字表法随机分为干预组68例和对照组64例，干预组采用动机性访谈干预，对照组采用常规健康指导。结果出院后1个月干预组患者运动改变阶段中前意向、意向、准备、行动、维持的例数分别为0，1，0，56，11例，对照组分别为0，10，7，35，12例，两组差异有统计学意义（Z=-2．23，P〈0．05）；出院后3个月干预组患者运动改变阶段中前意向、意向、准备、行动、维持的例数分别为0，1，0，56，11例，对照组分别为13，12，2，25，12例，两组差异有统计学意义（Z=-3．62，P〈0．01）；出院后6个月干预组患者运动改变阶段中前意向、意向、准备、行动、维持的例数分别为0，0，0，3，65例，对照组分别为20，8，1，1，34例，两组差异有统计学意义（Z=-5．70，P〈0．01）。出院后1，3，6个月干预组患者运动频率均I〉5次／周，运动频率与对照组比较，差异有统计学意义（X2值分别为-4．22，-6．10，-7．12；P〈0．01）；运动持续时间差异有统计学意义（X2值分别为-4．96，-5．93，-7．24；P〈0．01）。结论动机性访谈干预可帮助PCI术后患者增强运动意愿及提高运动依从性。Objective To evaluate the effect of motivational interviewing （MI） on the rehabilitative exercise for patients after percutaneous coronary intervention （PCI）. Methods 132 patients after percntaneous coronary intervention were chosen by the method of convenience sampling from a hospital in Suzhou, and were randomly divided into two groups. The experimental group （ n = 68 ） received MI based intervention while the control group （ n = 64） received routine health education. Results One month after discharge, there were 0, 1, 0, 56 and 11 cases of patients in the experimental group and 0, 10, 7, 35 and 12 cases in the control group who were respectively in the pre-contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage of physical exercise, and the difference was statistically significant （ Z = - 2.23, P 〈 0.05 ）. Three months after discharge, there were 0, 1, 0, 56 and 11 cases of patients in the experimental group and 13, 12, 2, 25 and 12 cases in the control group who were respectively in the pre-contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage of physical exercise, and the difference was statistically significant （Z = - 3.62, P 〈 0.05 ）. Six months after discharge, there were 0, 0, 0, 3 and 65 cases of patients in the experimental group and 20,8,1,1 and 34 cases in the control group who were respectively in the pre-contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage of physical exercise, and the difference was statistically significant （ Z = - 5.70, P 〈 0.05 ）. Patients＇ exercising frequency were all no less than 5 times per week one month, three months and six months after discharge in the experimental group, and were significantly different from those in the control group （X2 = -4. 22, -6. 10, -7.12, respectively;P 〈0.01 ）. There was also significant difference of duration of physical exercises between two groups （ X2 = - 4.96, - 5.93, - 7.

关 键 词：血管成形术 经腔 经皮冠状动脉 动机性访谈 康复运动 

分 类 号：R541.4[医药卫生—心血管疾病]