动机性访谈对经皮冠状动脉介入治疗患者疾病感知的效果研究  

The effect of motivational interviewing on the illness perception in patients after percutaneous coronary intervention

作　　者：万宝艳[1] 徐溟[1] 吴红瑾[1] 桑小红[1] 邢雪春 Wan Baoyan;Xu Ming;Wu Hongjin;Sang Xiaohong;Xing Xuechun(The First Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院心内科一病房,100029

出　　处：《中国实用护理杂志》2019年第18期1365-1369,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨动机性访谈对经皮冠状动脉介入治疗患者疾病感知的效果。方法采用方便抽样法选取160例经皮冠状动脉介入治疗后患者作为研究对象,采用抽签法将患者随机分为常规护理组85例和动机性访谈组75例。常规护理组给予常规的健康指导,动机性访谈组在常规护理的基础上给予4次动机性访谈,干预时间分别为住院期间、出院前、出院后1个月和3个月,20 min/次,于干预前和干预结束后对2组患者的疾病感知进行评价。结果干预结束后,动机性访谈组患者在症状认知、病情认知和病因认知3个部分的得分分别为(5.85±1.75)、(3.65±0.66)、(2.85±0.30)分,常规护理组患者得分为(4.84±1.09)、(2.92±0.61)、(2.48±0.31)分,2组比较差异有统计学意义(t=2.25、3.72、3.93,均P<0.05)。结论动机性访谈在改善经皮冠状动脉介入治疗患者的疾病感知方面较常规健康指导具有显著优势。Objective To evaluate the impact of motivational interviewing(MI)on the illness perception in patients after percutaneous coronary intervention(PCI).Methods Totally 160 patients after PCI were randomly divided into two groups.The patients in the control group(n=85)received routine education,while patients in the intervention group(n=75)were received 4 times MI(during hospitalization,before discharge,1 month after discharge,3 months after discharge),20 min for each time.Illness perception was appraised before and after the intervention in both groups.Results The mean scores of illness perception in the intervention group,including symptom perception,disease perception and cause perception,were 5.85±1.75,3.65±0.66,2.85±0.30,which were significantly higher than that of the control group after the intervention,4.84±1.09,2.92±0.61,2.48±0.31,the differences were significantly statistical(t=2.248,3.717,3.926,all P<0.05).Conclusions MI is much more effective than routine education on the improvement of illness perception in patients after PCI.

关 键 词：经皮冠状动脉介入治疗 冠心病 动机性访谈 疾病感知 

分 类 号：R473.5[医药卫生—护理学]