动机性访谈对容量控制不佳腹膜透析患者自我管理行为及生存质量的影响  

Effect of motivational interviewing on the self-management and quality of life in peritoneal dialysis patients with poor control of volume management

作　　者：张丽英[1,2] 胡宏[1,2] 张敏燕[1,2] 林洁[1,2] 夏文楷 

机构地区：[1]东南大学附属江阴医院肾内科,214400 [2]东南大学附属江阴医院风湿免疫科,214400

出　　处：《中华现代护理杂志》2017年第9期1278-1282,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨动机性访谈对容量控制不佳腹膜透析患者自我管理及生活质量的影响.方法 采用随机对照研究方法,将41例容量负荷控制不佳的腹膜透析患者作为研究对象,分为干预组和对照组.干预组采用已制定的动机性访谈干预;对照组采用常规教育方法.干预前及干预6个月分别评估两组患者脑钠肽、心胸比、收缩压、舒张压、自我管理水平和生活质量.结果 干预后6个月,干预组心胸比和收缩压较基线下降,与对照组组间差异有统计学意义（P〈0.05）;干预组的自我管理水平和生活质量提高优于对照组,差异有统计学意义（P〈0.05）.结论 动机性访谈在改善腹膜透析患者容量负荷以及提高患者自我管理水平和生活质量方面较常规教育具有显著优势.Objective To evaluate the effect of motivational interviewing （MI） on the quality of life and self-behaviour in peritoneal dialysis patients with poor control of volume management. Methods Totally 41 peritoneal inpatients with poor control of volume management were selected as the research object and were randomly divided into two groups. The patients in the control group received routine diabetes education, while the patients in the experimental group received intervention of motivational interviewing. The patients′ Brain Natriuretic Peptide （BNP）, cardiothoracic ratio （CTR）, systolic blood pressure （SBP）, diastolic blood pressure （DBP）, self-management score and quality of life were measured before intervention and 6 months after intervention.Results The CTR and SBP level after 6 months were lower than baseline（P〈0.05）. The improvement of self-management and quality of life was much more significant in experimental group（P〈0.05）. Conclusions Motivational interviewing is more effective than routine peritoneal education on the improvement of self-management and quality of life in peritoneal dialysis patients with poor control of volume management.

关 键 词：腹膜透析 生活质量 自我管理 动机性访谈 

分 类 号：R473.5[医药卫生—护理学]