基于跨理论模型指导的动机访谈干预模式在低位直肠癌术后造瘘患者中的应用效果  

Application Effects of Motivational Interviewing Intervention Model Based on Trans-theoretical Modelguidance on Patients with Postoperative Fistula of Low Rectal Cancer

作　　者：张姗姗[1] 刘杨[1] 刘春燕[1] 郑珊红[1] 马蓉蓉 ZHANG Shanshan;LIU Yang;LIU Chunyan;ZHENG Shanhong;MA Rongrong(Tai’an Cancer Prevention and Treatment Hospital,Shandong Province,Tai’an 271000,China;不详)

机构地区：[1]山东省泰安市肿瘤防治院,山东泰安271000 [2]山东省泰安市泰山区疾控中心

出　　处：《中国医学创新》2022年第12期88-92,共5页Medical Innovation of China

基　　金：山东省医药卫生科技发展计划项目(2018WS142)。

摘　　要：目的:探讨分析基于跨理论模型指导的动机访谈干预模式在低位直肠癌术后造瘘患者中的应用效果。方法:选取2019年1月-2021年2月在泰安市肿瘤防治院接受治疗的64例低位直肠癌术后造瘘患者为研究对象,按照随机数字表法将患者分为对照组和观察组,各32例。对照组实施常规护理,观察组在对照组基础上予以跨理论模型指导下动机访谈干预模式。比较两组自我效能[健康促进策略量表(SUPPH)]、自我护理能力[自我护理能力量表(ESCA)]、生活质量[大肠癌生命质量测定量表(QLICP-CR)],并记录造瘘并发症情况。结果:出院后6个月,观察组SUPPH量表各维度(积极态度、自我减压、自我决策)评分及总分均高于对照组(P<0.05);观察组ESCA量表各维度(自护技能、自护责任感、自我概念、自护知识)评分均高于对照组(P<0.05)。观察组造瘘并发症发生率低于对照组(P<0.05);出院后6个月,观察组QLICP-CR量表各维度评分均高于对照组(P<0.05)。结论:将跨理论模型指导下动机访谈干预模式应用于低位直肠癌术后造瘘患者,可显著促进其自我能效和自我护理能力提高,有效降低造瘘并发症发生率,并显著改善患者生活质量,效果良好。Objective:To explore and analyze the application effects of motivational interviewing intervention model based on trans-theoretical modelguidance on patients with postoperative fistula of low rectal cancer.Method:A total of 64 patients with postoperative colostomy for low rectal cancer treated in Tai’an Cancer Prevention and Treatment Hospital from January 2019 to February 2021 were selected as the research objects,they were divided into control group and observation group according to random number table method,with 32 cases in each group.The control group was given routine nursing,the observation group was given motivational interviewing intervention model based on trans-theoretical modelguidance on the basis of the control group.Self-efficacy[health promotion strategies scale (SUPPH)],self-care ability[self-care ability scale (ESCA)]and quality of life[colorectal cancer quality of life scale (QLICP-CR)]were compared between the two groups,and the complications of fistula were recorded.Result:6 months after discharge,the scores and total scores of SUPPH scales in the observation group were higher than those in the control group (P<0.05);the scores of ESCA dimensions (self-care skills,self-care responsibility,self-concept and self-care knowledge) in the observation group were higher than those in the control group (P<0.05).The incidence of fistula complications in the observation group was lower than that in the control group (P<0.05).6 months after discharge,the scores of QLICP-CR scale in the observation group were higher than those in the control group (P<0.05).Conclusion:The application of motivational interviewing intervention model guided by trans-theoretical model for patients with postoperative fistula of low rectal cancer can significantly improve the self-efficacy and self-care ability,effectively reduce the incidence rates of fistula complications and significantly enhance the quality of life of patients,with good effects.

关 键 词：低位直肠癌 术后造瘘 跨理论模型 动机访谈 

分 类 号：R473.73[医药卫生—护理学]