基于动机性访谈的运动干预对老年HIV感染者运动和生活质量的影响  

Effects of motivational interviewing exercise intervention on improved physical activity and quality of life in elderly with HIV

作　　者：董宁[1] 王嫣华[1] 鲍美娟[1] 吴彩琴[2] DONG Ning;WANG Yanhua;BAO Meijuan;WU Caiqin(Shanghai Public Health Clinical Center,Shanghai 201508,China;Nursing College,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海市公共卫生临床中心,上海201508 [2]上海中医药大学护理学院,上海201203

出　　处：《中国艾滋病性病》2023年第7期788-793,共6页Chinese Journal of Aids & STD

基　　金：上海市公共卫生临床中心科研项目(KY-GW-2020-46);复旦大学护理学院科研项目(FNF202013)。

摘　　要：目的 探讨基于动机性访谈的运动干预对老年HIV感染者运动量及生活质量的影响。方法 2021年1月至2022年2月,采用便利抽样,选取上海市公共卫生临床中心艾滋病自愿咨询检测门诊老年HIV感染者153例,应用随机数字表法随机分为两组(试验组76例,对照组77例),试验组采用动机性访谈的方法指导感染者进行运动,对照组采用常规护理指导感染者进行运动。该研究持续16周,其中干预时间0~12周,随访时间12~16周。比较两组日均步数、运动自我效能和生活质量。结果 共有124例老年HIV感染者(试验组62例,对照组62例)完成了研究。干预12周时,试验组日均步数(8 158.26±3 075.51)步、对照组日均步数(5 260.67±1 680.06)步;干预16周时,试验组日均步数(6 742.19±2 564.99)步、对照组日均步数(4 855.13±1 777.53)步;两组比较,差异有统计学意义(P<0.05)。试验组老年HIV感染者的运动自我效能、生活质量得分优于对照组(P<0.05)。结论 基于动机性访谈的运动干预能够促进老年HIV感染者的运动量和生活质量。Objective To investigate the effects of motivational interviewing exercise intervention on improved physical activity and quality of life in elderly with HIV.Methods From January 2021 to February 2022,convenient samples of 153 elderly with HIV were recruited from the HIV/AIDS voluntary counseling&testing clinics in Shanghai Public Health Clinical Center.According to random numbers table,they were randomly divided into two groups(76 cases in the intervention group and 77 cases in the control group).The exercise program of intervention group was guided by motivational interviewing instruction,while that in the control group was guided by the routine nursing.The study lasted 16 weeks,with the intervention time of 0-12 weeks and follow-up time of 12-16 weeks.The daily pedometer step count,self-efficacy,and quality of life were compared between the 2 groups.Results A total of 124 elderly with HIV(62 cases in the intervention group and 62 cases in the control group)completed the study.With intervention for 12 weeks,the average daily pedometer step counts in the intervention group were 8158.26±3075.51 steps,and that in the control group were 5260.67±1680.06 steps;for 16 weeks,the average daily pedometer step counts in the intervention group were 6742.19±2564.99 steps,and that in the control group were 4855.13±1777.53 steps;there was statistically significant difference between the 2 groups(P<0.05).The exercise self-efficacy and quality of life scores in the intervention group were better than those in the control group(P<0.05).Conclusions A motivational interviewing exercise intervention can improve physical activity and quality of life in elderly with HIV.

关 键 词：艾滋病病毒感染 老年人 动机性访谈 运动干预 生活质量 

分 类 号：R373.9[医药卫生—病原生物学]