动机性访谈促进慢性阻塞性肺疾病患者呼吸锻炼的效果分析  

Effect of Motivational Interview on Breathing Exercises in Patients with Chronic Obstructive Pulmonary Disease

作　　者：唐朝[1] 席明霞[1] 卿利敏[1] 覃琴[1] 骆永梅[1] 

机构地区：[1]长沙市中心医院,湖南长沙410001

出　　处：《护理学报》2015年第7期64-67,共4页Journal of Nursing（China）

基　　金：2013年湖南省科技计划项目(2013FJ6033)

摘　　要：目的评价动机性访谈在促进慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者呼吸锻炼的效果。方法将101例COPD患者按住院号随机分为干预组和对照组,干预组采取跨理论模型架构的评估方法,根据其行为阶段运用动机性访谈进行呼吸锻炼干预,包括意识唤起、自我评价、强化管理等。对照组采用常规护理。结果干预6个月后,患者呼吸锻炼行为改变阶段及肺功能监测指标比较,干预组与对照组差异均具有统计学意义(P<0.05)。结论动机性访谈通过激发患者的内在改变动机,可增强患者呼吸锻炼意愿,提高患者呼吸锻炼依从性,有效改善肺功能。Objective To evaluate the effect of motivational interview（MI） on breathing exercises in patients with chronic obstructive pulmonary disease（COPD）. Methods Totally 101 patients were randomly divided into control group and experiment group. The experiment group received motivational interview based on the assessment of breathing exercises with trans-theoretical model of change（TTM）, while control group received routine care. Results There were significant differences in change stages of patient ＇s breathing exercises and pulmonary function between two groups six months after intervention（P〈0.05）. Conclusion MI works by stimulating patient＇s intrinsic motivation to make a change, promoting the willingness of breathing exercises, and can improve pulmonary function.

关 键 词：慢性阻塞性肺疾病 动机性访谈 呼吸锻炼 健康教育 

分 类 号：R471[医药卫生—护理学]