基于CICARE沟通模式的动机性访谈在中青年炎症性肠病患者中的应用  

Application of CICARE communication mode-based motivational interview in young and middle-aged people with inflammatory bowel diseases

作　　者：尹文静 朱蓓[2] 张曙[1] 张浩[3] YIN Wenjing;ZHU Bei;ZHANG Shu(Department of Gastroenterology,Affiliated Hospital of Jiangsu University,Jiangsu,Zhenjiang 212001,China;不详)

机构地区：[1]江苏大学附属医院消化科,江苏省镇江市212001 [2]江苏大学附属医院门诊部,江苏省镇江市212001 [3]江苏大学附属医院急诊科,江苏省镇江市212001

出　　处：《河北医药》2023年第13期2060-2064,共5页Hebei Medical Journal

基　　金：江苏省中医药局科技项目(编号:YB2015184)。

摘　　要：目的探讨CICARE沟通模式的动机性访谈对中青年炎症性肠病(IBD)患者服药依从性、心理状态、生活质量的影响。方法选取2021年1~12月的住院治疗的中青年IBD患者120例,采用随机数字表法分为观察组和对照组,每组60例。观察组采用基于CICARE沟通模式的动机性访谈进行服药依从性指导,对照组采用常规健康教育。2组患者均于干预3个月后进行评价,比较2组患者服药依从性、心理状态、生活质量的变化。结果本研究共完成调查118例,观察组58例,对照组60例。干预后观察组服药完全依从率(91.4%)高于对照组(76.7%),差异有统计学意义(χ^(2)=4.73,P<0.05);观察组患者的焦虑情绪、抑郁情绪评分较对照组改善明显(P<0.05);观察组患者生活质量评分明显优于对照组(P<0.05)。结论采用基于CICARE沟通的动机性访谈有利于提高中青年IBD患者服药依从性,改善生活质量,改善其临床预后。Objective To explore the effect of CICARE(Connect,Introduce,Communicate,Ask,Response,Exit)communication mode-based motivational interviewing on medication compliance,psychological state and quality of life in young and middle-aged patients with inflammatory bowel diseases(IBDs).Methods A total of 118 young and middle-aged IBD patients hospitalized from January to December 2021 were selected and randomly allocated to the observation group(n=58)and control group(n=60).CICARE communication mode-based motivational interviewing was performed to guide the medication compliance in patients of observation group,while those in the control group were given a routine health education.After three months of intervention,medication compliance,psychological state,and quality of life were compared between the two groups.Results After the intervention,the complete compliance rate of the observation group was significantly higher than that of the control group(91.4%vs 76.7%,χ^(2)=4.73,P<0.05).Anxiety and depression scores of the observation group were significantly improved in the observation group compared with those in the control group(P<0.05).The score of quality of life was significantly higher in the observation group than that of the control group(P<0.05).Conclusion CICARE communication mode-based motivational interviewing is beneficial to improve medication compliance,quality of life and negative emotions in young and middle-aged IBD patients.

关 键 词：CICARE沟通 动机性访谈 中青年 炎症性肠病 服药依从性 心理状态 护理 

分 类 号：R473.5[医药卫生—护理学]