动机性访谈对儿童小腿创伤慢性伤口愈合的影响  

Effect of motivational interview on accelerating chronic wound healing in children with calf injury

作　　者：蒋雪飞[1] 林梅[1] 傅强[1] 谭伟欣[1] 欧会芝 

机构地区：[1]广州中医药大学附属佛山中医院骨伤综合科,佛山市528000

出　　处：《护理实践与研究》2016年第21期44-46,共3页Nursing Practice and Research

基　　金：2014年佛山市医学类科技攻关项目(2014AB00336)

摘　　要：目的：探讨动机性访谈对促进儿童小腿创伤慢性伤口愈合的效果。方法：将2015年1~12月140例儿童小腿创伤性慢性伤口患儿随机等分为对照组和干预组,对照组进行常规健康教育;干预组基于跨理论模型建立动机性访谈干预模式。采用伤口疮面评分、平均换药治疗时间评价干预效果。结果：干预前后两组患儿疮面评分均有不同程度降低,但干预组下降程度较对照组更加明显（P〈0.05）,且平均换药治疗时间明显短于对照组（P〈0.05）,伤口疮面的痊愈率两组无明显差异（P〉0.05）。结论：动机性访谈可通过激发患儿内在行为改变意愿,消除患儿因创伤造成的低落及紧张情绪,提高治疗依从性,有效促进慢性伤口的愈合。Objective：To explore the effect of motivational interview on accelerating chronic wound healing in children with calf injury. Methods：Selected 140 children with traumatic chronic wounds from January 2015 to December 2015 and randomly divided them into control group and intervention group. The control group was given routine health education. The intervention group established the motivational interview intervention model based on the cross - theo-retical model. The treatment effect was evaluated by wound score and average dressing treatment time. Results：Compared with the situation before the inter-vention,the wound scores of the two groups were decreased at some degree,however the decreased degree of the intervention group was more significant than that of the control group（P 〈 0. 05）. The average time of dressing change of the intervention group was significantly shorter than that of the control group（P 〈 0. 05）. No significant difference was found between the cure rates of the two groups（P ﹥ 0. 05）. Conclusion：Motivational interview can relieve children’s depression and tension caused by trauma through motivating inner behavioral change willing,improve children’s compliance and promote the healing of chronic wounds effectively.

关 键 词：慢性伤口 动机性访谈 健康教育 临床效果 

分 类 号：R473.72[医药卫生—护理学]