动机性访谈对高血压患者服药依从性的影响  

Effects of the motivational interviewing on medication adherence behaviors in hypertensive patients

作　　者：夏超颖[1] 张小红[2] 

机构地区：[1]南华大学附属第一医院手术室,湖南衡阳421001 [2]中南大学卫生部肝胆肠外科研究中心,湖南长沙410008

出　　处：《中国现代医学杂志》2012年第34期66-69,共4页China Journal of Modern Medicine

摘　　要：目的探讨动机性访谈对高血压患者服药依从性的影响。方法 2011年1-10月,抽取衡阳市某三级甲等综合医院高血压患者80名,随机等分为干预组和对照组,对照给予医院常规护理,干预组在常规护理的基础上进行动机性访谈。在干预前和出院1个月后分别进行服药依从性、服药意愿、服药信心的调查。结果干预组患者干预前后的服药依从性、服药意愿及服药信心差异均有显著性（P〈0.05）,干预后,干预组患者的服药依从性、服药意愿及服药信心优于对照组（P〈0.05）。结论动机性访谈能增强高血压患者的服药意愿和信心,提高服药依从性。[Objective] To explore the motivational interviewing＇s effect in improving the medication adherence behaviors in hypertensive patients. [ Methods ] 80 hypertensive patients in a three grade comprehensive hospital in Hengyang were recruited and randomly allocated to the treatment group and the control. The control group received the routine care. The treatment group received the motivational interviewing on the basis of routine care. The status of physical activity was investigated before intervention and 1 month after discharge. [ Results ] The medication ad- herence, adherence confidence and motivation of patients in the treatment group had significant improvement one month after discharge, there was statistically significance （P 〈0.05）. After applying the motivational interviewing, the medication adherence, adherence confidence and motivation of patients in the treatment group were better than the control group （P 〈0.05）. [ Conclusion ] The motivational interviewing can improve the medication adherence, adherence confidence and motivation of hypertensive patients.

关 键 词：高血压 动机性访谈 服药依从性 

分 类 号：R544.1[医药卫生—心血管疾病]