动机性访谈和阶段性干预对冠心病病人健康行为的影响

发布时间：2018-01-30 18:40

本文关键词： 冠心病动机性访谈阶段性干预健康行为　出处：《护理研究》2016年35期 　论文类型：期刊论文

【摘要】：[目的]探讨动机性访谈和阶段性干预对冠心病病人健康行为的影响。[方法]将160例住院病人随机分为观察组和对照组各80例,观察组采用动机性访谈和阶段性干预相结合的健康教育方式进行宣教;对照组采用常规健康教育方法,比较干预前后两组病人冠心病自我管理能力及健康行为改变情况。[结果]观察组病人干预6个月自我管理能力评分高于对照组,两组比较差异有统计学意义(P0.01);两组病人干预1个月、2个月、6个月健康行为改变情况比较差异有统计学意义(P0.05或P0.01)。[结论]动机性访谈和阶段性干预可促进冠心病病人的行为改变,改善病人的生活质量。
[Abstract]:[Objective] to explore the effect of motivational interview and periodic intervention on health behavior of patients with coronary heart disease (CHD). [Methods: 160 inpatients were randomly divided into observation group (n = 80) and control group (n = 80). The control group used routine health education method to compare the changes of self-management ability and healthy behavior of coronary heart disease between the two groups before and after intervention. [Results: the scores of self-management ability of the patients in the observation group were higher than those in the control group for 6 months, and the difference between the two groups was statistically significant (P 0.01). There were significant differences in the changes of health behavior between the two groups after 1 month, 2 months and 6 months of intervention (P 0.05 or P 0.01). [Conclusion: motivation interview and periodic intervention can promote the behavior change and improve the quality of life of patients with coronary heart disease.
【作者单位】：南通大学附属建湖医院;上海中医药大学附属上海市中西医结合医院;
【基金】：2013年盐城市医学科技发展计划项目,编号:yk2013091
【分类号】：R473.5
【正文快照】： 近年来,冠心病发病率、病死率不断增加,成为全球关注的公共卫生问题[1]。有研究表明:冠心病主要是生活方式不良所导致的疾病[2],故冠心病病人的健康教育尤为重要。研究发现:即使病人住院期间接受了健康教育,生活方式也有所改变,但出院后不久就会恢复原来的生活方式[3]。本研究

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