动机性访谈对肝硬化腹水患者自我管理行为及生活质量的影响  

The effect of motivational interviewing on self-management and the life quality of cirrhotic ptaient s with ascites

作　　者：周媛[1] 李振刚[1] 夏回容 

机构地区：[1]湖北省天门市第一人民医院,431700

出　　处：《国际护理学杂志》2015年第19期2607-2610,共4页international journal of nursing

摘　　要：目的：探讨动机性访谈对肝硬化腹水患者自我管理行为及生活质量的影响。方法选择肝硬化腹水患者86例，采用随机数字表法分为动机性访谈组（动机组）和对照组各43例，动机组采用动机性访谈进行院内及院外随访护理，对照组仅给予常规护理，分别于入院时和出院后3个月对其自我管理行为及生活质量进行评估。结果动机组患者对肝硬化腹水知识的掌握、自身症状的评测及生活质量在3个月后明显高于刚入院时（P＜0.05），也明显优于3个月后对照组得分（P＜0.05）。结论动机性访谈可促进肝硬化腹水患者采纳有益于健康的行为和生活方式，对提高患者生活质量具有十分重要的临床意义。[Abs tarct] O bjective To investigate motivational interviewing on self-management and the life quality of cirrhotic patients with ascites.Methods Totaled of 86 cirrhotic patients with ascites wereselected and divided randomly into the control group and motivation group with 43 cases in each.In the motivation group all of the patients accepted motivationalinterviewing during hospitalization and follow-up care outside the hospital, in the control group all of the pa-tients accepted routine nursing.Their self-management behaviors and life quality when admission and discharge 3 months later were assessed between two groups.Results Three months later, the knowledge mastery of liver cirrhosis, evaluation of symptoms and life quality in the motivation group were all improved （ P〈0.05 ） , and were all significantly better than those in the control group （ P〈0.05 ） .Conclusions Motivational interviewingcan promote cirrhotic patients with ascites to adopt healthy behaviors and lifestyles, and can also improve the life quality.

关 键 词：动机性访谈 肝硬化腹水 自我管理 生活质量 

分 类 号：R473.5[医药卫生—护理学]