动机性访谈法对腰椎间盘突出症患者恐动症的影响  

Influence of motivational interviewing on kinesiophobia in patients with lumbar disc herniation

作　　者：刘锐[1] LIU Rui(Department of The Second Operating Room,The Second Affiliated Hospital of Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学附属第二医院第二手术室,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2024年第3期320-323,共4页Journal of Harbin Medical University

基　　金：黑龙江省省属高等学校基本科研业务费科研项目(2019-KYYWF-0404)。

摘　　要：目的探讨动机性访谈(motivational interviewing,MI)法对腰椎间盘突出症患者恐动症水平的影响。方法选取2019年6月~2020年6月在哈尔滨某三甲医院康复科收治的腰椎间盘突出症患者70例作为研究对象,随机分为实验组和对照组,各35例。实验组实施动机性访谈干预,对照组实施常规护理,比较动机性访谈干预对腰椎间盘突出症患者恐动症评分(Tampa Scale of Kinesiophobia,TSK)及恐惧回避信念问卷(Fear Avoidance Belief Questionnaire,FABQ)的影响。结果动机性访谈干预后,实验组TSK得分为(38.67±8.97),FABQ得分为(41.54±12.44),均显著低于对照组,差异有统计学意义(P<0.05)。结论MI法能改善腰椎间盘突出症患者的恐动水平,降低患者的恐惧回避信念水平。Objective To explore the influence of motivational interviewing(MI)on kinesiophobia in patients with lumbar disc herniation.Methods From June 2019 to June 2020,70 patients with lumbar disc herniation in the Rehabilitation Department of a tertiary hospital in Harbin were selected and randomly divided into the experimental group and the control group(with 35 cases in each group),the experimental group received motivational interview intervention,while the control group received routine nursing care.The effects of motivational interviewing intervention on the Tampa Scale of Kinesiophobia(TSK)and Fear Avoidance Belief Questionnaire(FABQ)in patients with lumbar disc herniation was compared.Results After the intervention,the scores of TSK and FABQ in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion MI can effectively reduce the levels of kinesiophobia and fear avoidance belief in the lumbar disc herniation patients.

关 键 词：腰椎间盘突出症 动机性访谈 恐动症 恐惧回避信念 

分 类 号：R473.5[医药卫生—护理学]