THRIVE式动机性访谈对脑卒中患者创伤后成长及负性情绪的影响  

Effect of THRIVE motivational interview on post-traumatic growth and negative emotion in stroke patients

作　　者：陶金[1] 何云[1] 王晓红 Tao Jin;He Yun;Wang Xiaohong(Emergency Ward,Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院急诊病区,南京210008

出　　处：《保健医学研究与实践》2023年第11期95-100,共6页Health Medicine Research and Practice

基　　金：国家自然科学基金项目(82070366)。

摘　　要：目的探讨THRIVE式动机性访谈对脑卒中患者创伤后成长及负性情绪的影响,以期为脑卒中患者制定科学的护理干预措施提供参考。方法选取2021年10月—2022年10月南京大学医学院附属鼓楼医院收治的80例脑卒中患者为研究对象,采用随机数字表法分为对照组和观察组,每组40例。对照组患者采用常规护理干预,观察组患者在常规护理基础上给予THRIVE式动机性访谈干预。比较2组患者干预前后创伤后成长量表(PTGI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及护理满意度。结果干预前,2组患者PTGI量表中生活感知、与他人关系、个人力量、新的可能性、自我转变5个维度评分及量表总分比较,差异均无统计学意义(P>0.05);干预后,2组患者生活感知、与他人关系、个人力量、新的可能性、自我转变5个维度评分及量表总分均高于干预前,且观察组患者均高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SAS及SDS评分比较,差异无统计学意义(P>0.05);干预后,2组患者SAS及SDS评分均低于干预前,且观察组患者均低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度为95.00%(38/40),高于对照组的80.00%(32/40),差异有统计学意义(χ^(2)=4.114,P=0.043)。结论THRIVE式动机性访谈对脑卒中患者干预效果显著,可有效促进患者创伤后成长,减轻负性情绪,提高护理满意度,值得在临床推广应用。Objective To investigate the effect of THRIVE motivational interviewing on post-traumatic growth and negative emotion in stroke patients,and to provide evidence for stroke patients to develop scientific nursing intervention measures.Methods Eighty stroke patients admitted to Affiliated Drum Tower Hospital of Nanjing University Medical School from October 2021 to October 2022 were randomly allocated to the control group(n=40)and the observation group(n=40).Patients in the control group received routine nursing intervention;patients in the observation group,THRIVE motivational interviewing intervention on the basis of routine nursing.Posttraumatic growth inventory(PTGI)score,self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores,and degree of satisfaction with nursing were compared between the two groups before and after intervention.Results Before intervention,no significant difference was observed in the 5 subscale(life perception,relationships,personal strength,new possibility,and self-transformation)and total scores of PTGI between the two groups(P>0.05).The 5 subscale(life perception,relationships,personal strength,new possibility,and self-transformation)and total scores of PTGI in the two groups were increased after intervention,and the patients in the observation group were higher than those in the control group,with statistical significance(P<0.05).Before intervention,no significant difference was found in SAS and SDS scores between the two groups(P>0.05).The SAS and SDS scores in the two groups were reduced after intervention,and the patients in the observation group were lower than those in the control group,with statistical significance(P<0.05).The degree of satisfaction with nursing in the observation group was significantly higher than that in the control group[95.00%(38/40)vs.80.00%(32/40);χ^(2)=4.114,P=0.043].Conclusion THRIVE motivational interviewing is effective in the intervention of stroke patients,which can effectively promote posttraumatic growth,reduce negative emotions,and r

关 键 词：THRIVE模式 动机性访谈 脑卒中 创伤后成长 负性情绪 

分 类 号：R743.3[医药卫生—神经病学与精神病学]