溃疡性结肠炎患儿跨理论模型为指导的动机性访谈健康教育  

Application of motivational interviews guided by trans-theoretical model to children with ulcerative colitis

作　　者：于明明 黄艳[1] Yu Mingming;Huang Yan(Department of Gastroenterology of Nanjing Children′s Hospital,Nanjing Medical University,Nanjing 210000, China)

机构地区：[1]南京医科大学附属南京儿童医院消化科,江苏南京210000

出　　处：《护理学杂志》2018年第22期81-84,97,共5页Journal of Nursing Science

摘　　要：目的探讨以跨理论模型为指导的动机性访谈对溃疡性结肠炎患儿自我效能与医嘱依从性的影响。方法将60例溃疡性结肠炎患儿及其照护者作为研究对象,采取随机数字表法将其分为对照组和干预组,每组30例。对照组患儿及照护者接受常规健康教育,干预组患儿及照护者则采用以跨理论模型为指导的动机性访谈。比较两组患儿干预前后的自我效能及用药依从性改善情况,以及干预后的治疗效果、复发率和干预前后改良肠镜Baron评分情况。结果干预后两组患儿自我效能各维度得分及用药依从性得分均明显提高,肠镜Baron评分均明显降低,且干预组显著优于对照组(P<0.05,P<0.01);干预组患儿治疗效果显著优于对照组(P<0.05);干预3个月内干预组患儿复发率为6.67%,对照组为26.67%,干预组复发率显著低于对照组(P<0.05)。结论对溃疡性结肠炎患儿及其照护者采取以跨理论模型为指导的动机性访谈的健康教育,可提高患儿自我管理能力及医嘱依从性,并可进一步提高治疗效果,减少疾病复发。Objective To explore the effect of motivational interview guided by trans-theoretical model on self-efficacy and medication compliance among children with ulcerative colitis (UC).Methods Totally,60 UC children were randomly and evenly divided into a control group and an intervention group.Routine health education was given to the control group and their parents,while the intervention group and their parents were subjected to motivational interviews guided by trans-theoretical model.Self-efficacy levels and medication compliance,and the treatment effect,recurrence rates and modified Baron scores were compared between the 2 groups.Results The scores for each dimension of self-efficacy,medication compliance in the two groups were improved significantly,and modified Baron scores decreased significantly after the intervention,with the intervention group achieving better results regarding the abovementioned outcomes than the controls (P<0.05,P <0.01).The intervention group had better treatment effect than their counterparts (P<0.05),and had a 3-month recurrence rate of 6.67%,versus 26.67% in the controls (P<0.05).Conclusion Giving health education through motivational interviews guided by trans-theoretical model to UC children and their parents,could enhance children′s self-management ability and medication compliance,which improves the treatment effect and reduce recurrence of UC.

关 键 词：儿童 溃疡性结肠炎 跨理论模型 动机性访谈 自我效能 用药依从性 健康教育 

分 类 号：R473.6[医药卫生—护理学] R193[医药卫生—临床医学]