摘要
目的探讨跨理论模型架构的健康教育计划结合动机性访谈方法,对高血压脑出血术后患者健康行为的影响。方法选取2016年10月至2019年10月在神经外科住院治疗的220例高血压脑出血术后患者作为研究对象,按随机数字表法分为对照组和干预组,每组各110例。对照组予以常规运动功能康复训练和生活自理能力训练的健康教育,干预组在常规护理的基础上实施以跨理论模型为指导的动机性访谈干预,通过患者在各阶段的不同状态,判断其行为所处的变化阶段,制订适宜患者不同时期的干预措施,进行有针对性的健康教育。结果患者在实施以跨理论模型为指导的动机性访谈干预6个月后,自我效能感、运动功能和生活自理能力得分均比干预前增高,血压较干预前改善,且效果相较于对照组更为明显(P<0.01)。结论通过跨理论模型架构的健康教育计划结合动机性访谈干预,增强了高血压脑出血术后患者的自我效能感,提高了其康复训练的依从性和生活自理能力。
Objective To explore the effect of motivation interviewing guided by transtheoretical model of health behavior on patients with hypertensive intracerebral hemorrhage.Methods Totally,220 patients with hypertensive intracerebral hemorrhage hospitalized in the department of neurosurgery from October 2016 to October 2019 were randomly divided into a control group and an intervention group of 110 in each.Routine health education was given to the control group,while the intervention group were subjected to motivational interviews guided by trans-theoretical model,by patients in every stage of the state,to judge the behavior of the phase change,develop suitable for different periods of patients with interventions,targeted health education.According to the different status of patients and the change of their behavior in each stage,and appropriate intervention measures were formulated for patients carry out targeted health education.Results The scores of self-efficacy,motor function and daily care ability were all higher than before the intervention,and their blood pressure was better than before the intervention,which were all more significant than those of the control group after six months discharge(P<0.01).Conclusion Giving health education through motivational interviews guided by transtheoretical model to patients with hypertensive intracerebral hemorrhage,enhance their compliance with rehabilitation training,and improve their self-care ability.
作者
陈超逸
张丽英
陈秀
姜林
杨昌美
CHEN Chaoyi;ZHANG Liying;CHEN Xiu;JIANG Lin;YANG Changmei(School of Nursing,Southwest Medical University,Luzhou 646000,China;Department of Anorectal,the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Luzhou 646000,China;Department of Neurosurgery,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China)
出处
《护理管理杂志》
2020年第6期393-398,共6页
Journal of Nursing Administration
基金
四川省卫生与计划生育委员会普及应用项目(17PJ285)。
关键词
高血压脑出血
跨理论模型
动机性访谈
自我效能
生活自理能力
hypertensive intracerebral hemorrhage
transtheoretical model
motivation interviewing
self-efficacy
daily care ability
作者简介
陈超逸(1993-),女,四川内江人,护师,硕士研究生在读,主要从事外科临床护理研究工作;通信作者:杨昌美,E-mail:myycm6406@163.com。
