基于THRIVE模型的动机性访谈对中青年脑卒中恢复期病人创伤后成长的干预研究  

Study on the intervention effects of motivational interview based on THRIVE model on post-traumatic growth of young and middle-aged stroke convalescent patients

作　　者：张静静 赵苏梅 王晶晶 聂礼平 肖梦 ZHANG Jing-jing;ZHAO Su-mei;WANG Jing-jing;NIE Li-ping;XIAO Meng(Department of Acupuncture and Massage,Fuyang Hospital of Traditional Chinese Medicine,Fuyang Anhui 236000,China)

机构地区：[1]安徽省阜阳市中医医院针灸推拿科,236000

出　　处：《蚌埠医学院学报》2023年第8期1152-1157,共6页Journal of Bengbu Medical College

摘　　要：目的:构建基于THRIVE模型的动机性访谈方案,并对中青年脑卒中恢复期病人创伤后成长进行干预研究。方法:将75例中青年脑卒中病人随机分为观察组38例和对照组37例,对照组采用传统心理护理干预,观察组采用基于THRIVE模型的动机性访谈方案进行干预,比较2组病人干预前后创伤性成长的变化。结果:干预后观察组中文版简化创伤成长量表(C-PTGI)总分及维度得分均高于对照组(P<0.05);干预后4周和12周观察组在人生感悟、自我转变、与他人关系上均高于干预前(P<0.01),干预后12周对照组在人生感悟、自我转变、与他人关系上均高于干预前(P<0.05);在新的可能性和个人力量上,干预后4周和12周观察组均高于干预前(P<0.01),对照组比较差异无统计学意义(P>0.05)。干预后DT得分观察组均低于对照组(P<0.05~P<0.01),差异问题观察组均少于对照组(P<0.05);观察组干预后DT得分均明显低于干预前(P<0.01);干预后12周,观察组在“与家人相处、睡眠、疲乏/疲倦、悲伤、担忧、恐惧和抑郁”问题上均较干预前有所降低(P<0.05),对照组较干预前比较,差异无统计学意义(P>0.05)。结论:需要关注中青年脑卒中病人创伤后成长的干预,基于THRIVE模型的动机性访谈能减少心理痛苦问题和程度,提升创伤后成长水平。Objective:To establish a motivational interview program based on THRIVE model,and investigate its intervention effects on post-traumatic growth of young and middle-aged stroke convalescent patients.Methods:Seventy-five young and middle-aged stroke patients were randomly divided into the observation group(38 cases)and control group(37 cases).The control group was treated with traditional psychological nursing intervention,and the observation group was treated with the motivational interview protocol based on THRIVE model.The changes of traumatic growth before and after intervention were compared between two groups.Results:After intervention,the total score and dimension scores of Chinese post-traumatic growth inventory(C-PTGI)in the observation group were higher than those in control group(P<0.05).At 4 weeks and 12 weeks after intervention,the scores of life perception,self-transformation and relationship in the observation group were higher than those before intervention(P<0.01),and after 12 weeks of intervention,the scores of life perception,self-transformation and relationship in the control group were higher than those before intervention(P<0.05).After 4 weeks and 12 weeks of intervention,the scores of new possibilities and personal strength in the observation group were higher than those before intervention(P<0.01),and there was no statistical significance in the scores of new possibilities and personal strength in the control group between before and after intervention(P>0.05).After intervention,the DT score in the observation group was lower than that in control group(P<0.05),the score of differences in the observation group was lower than that in control group(P<0.05),and the DT score in the observation group was significantly lower than that before intervention(P<0.01).After 12 weeks of intervention,the problems of"getting along with family,sleep,fatigue/fatigue,sadness,worry,fear and depression"in the observation group decreased compared with those before intervention(P<0.05),while there was no statistic

关 键 词：脑卒中 THRIVE模型 动机性访谈 创伤后成长 中青年 

分 类 号：R743.33[医药卫生—神经病学与精神病学]