幽门螺杆菌感染患者继续动机性访谈对遵医依从性的影响

发布时间：2018-05-31 05:15

本文选题：继续动机性访谈 + 幽门螺杆菌感染　；参考：《中华医院感染学杂志》2017年17期

【摘要】：目的探究继续动机性访谈对幽门螺杆菌感染患者遵医依从性。方法选取2013年1月-2016年1月于医院接受治疗的448例幽门螺杆菌感染患者为研究对象,按照随机数表法将患者均分为观察组和对照组,各224例;对照组实施常规幽门螺杆菌感染干预,观察组在对照组基础上加以继续动机性访谈,通过意图前期、意图期、准备阶段、行动阶段以及维持阶段对患者加以干预;干预1、3、6个月后,比较两组患者幽门螺杆菌根除率;采用医院自制的遵医依从性量表对两组患者包括遵医服药次数、服药剂量、间断停药、服药时间、合理饮食、运动锻炼六个维度进行评定;采用自我管理量表对两组患者食物选择、规律锻炼、用药管理、营养监测、进餐方式以及戒烟戒酒等自我管理能力进行比较分析。结果干预1、3、6个月后,观察组幽门螺杆菌根除率分别为18.8%、54.9%和79.0%,对照组分别为9.3%、35.7%和66.5%,两组比较差异有统计学意义(P0.05);两组患者遵医依从性量表评定结果显示,观察组遵医服药次数、服药剂量、间断停药、服药时间、合理饮食、运动锻炼的依从性均高于对照组,两组比较差异有统计学意义(P0.05);患者自我管理能力比较结果显示,观察组患者各项自我管理指标水平均高于对照组,两组比较差异有统计学意义(P0.05)。结论继续动机性访谈能够提高幽门螺杆菌感染患者遵医依从性,对于提高患者幽门螺杆菌根除率、降低患者感染率具有重要意义,可在临床推广应用。
[Abstract]:Objective to explore the compliance of patients with Helicobacter pylori infection with continuing motivation interviews. Methods 448 patients with Helicobacter pylori infection who were treated in hospital from January 2013 to January 2016 were divided into observation group (n = 224) and control group (n = 224). In the control group, the routine Helicobacter pylori infection intervention was carried out, and the observation group continued the motivation interview on the basis of the control group, and intervened the patients through the preintention, the intention period, the preparation stage, the action stage and the maintenance stage. The rate of Helicobacter pylori eradication was compared between the two groups after intervention 1 ~ 3 and 6 months, and the hospital self-made compliance scale was used to treat the patients in the two groups, including the number of times of compliance, dosage of medication, intermittent withdrawal of drugs, time of taking medicine, and reasonable diet. Six dimensions of exercise were evaluated, and the self-management abilities such as food selection, regular exercise, medication management, nutrition monitoring, eating style and quitting smoking and drinking were compared between the two groups by self-management scale. Results the eradication rate of Helicobacter pylori in the observation group was 18.8% and 79.0%, respectively, and that in the control group was 9.33.5% and 66.5%, respectively. The difference between the two groups was statistically significant (P 0.05). The compliance of the two groups was higher than that of the control group (P 0.05), and the results showed that the patients' self-management ability was higher than that of the control group (P < 0.05). The level of self-management indexes in the observation group was higher than that in the control group, and the difference between the two groups was statistically significant (P 0.05). Conclusion continuous motivation interview can improve compliance of patients with Helicobacter pylori infection, improve the eradication rate of Helicobacter pylori and reduce the infection rate of patients. It can be popularized and applied in clinical practice.
【作者单位】：滨州市人民医院消化内一科;滨州市人民医院干部保健科;滨州市人民医院肿瘤二科;
【分类号】：R573

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