动机性访谈对慢性心力衰竭患者服药依从性的干预研究
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摘要
目的探讨动机性访谈对慢性心力衰竭患者服药依从性的干预效果。方法 2017年12月至2018年11月,采用方便抽样的方法选取德阳市人民医院心血管内科住院治疗的慢性心力衰竭患者80例,第一阶段收集的样本为对照组,第二阶段收集的样本为干预组。采用服药依从评估量表来比较两组患者服药依从性,一般资料调查表确定样本基线一致。结果干预组患者服药依从性高于对照组,且差异具有统计学意义(P<0.05)。结论对慢性心力衰竭患者实施一对一的动机访谈是可行的、有效的,可提高慢性心力衰竭患者服药依从性。
Objective To explore the effect of motivational interview on compliance with medication in patients with chronic heart failure(CHF). Methods From December 2017 to November 2018, 80 patients with chronic heart failure who were hospitalized in Department of Cardiovascular Medicine, Deyang people's Hospital, were selected by convenient sampling method. The second stage of the collection of samples was the intervention group. The drug compliance assessment scale was used to compare the drug compliance between the two groups. The general information questionnaire confirmed that the baseline of the sample was the same. Results The beliefs about medication of the intervention group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion It is feasible and effective to carry out one-to-one motivation interview in patients with chronic heart failure, and it can improve the compliance of patients with chronic heart failure.
Objective To explore the effect of motivational interview on compliance with medication in patients with chronic heart failure(CHF). Methods From December 2017 to November 2018, 80 patients with chronic heart failure who were hospitalized in Department of Cardiovascular Medicine, Deyang people's Hospital, were selected by convenient sampling method. The second stage of the collection of samples was the intervention group. The drug compliance assessment scale was used to compare the drug compliance between the two groups. The general information questionnaire confirmed that the baseline of the sample was the same. Results The beliefs about medication of the intervention group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion It is feasible and effective to carry out one-to-one motivation interview in patients with chronic heart failure, and it can improve the compliance of patients with chronic heart failure.
引文
[1]葛均波,徐永健主编.内科学(第8版)[M].北京:人民卫生出版社,2016:228.
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[4]张美华.动机性访谈对老年慢性心力衰竭患者服药依从性的干预效果研究[D].青岛大学,2018.
[5]陈娟,赵书娥.慢性心力衰竭患者自我护理行为的研究进展[J].中华护理杂志,2015,50(03):360-364.
[6]方乐,张新卫.动机性访谈的理论与实践[J].现代实用医学,2011,23(09):1078-1080.
[7]McHorney CA.The Adherence Estimator:a brief,proximal screener for patient propensity to adhere to prescription medications for chronic disease[J].Curr Med Res Opin,2009,25(1):215-38.
[8]张美华,孙洪巧,张萍萍,等.动机性访谈对慢性心力衰竭患者自我管理行为及服药依从性的影响[J].齐鲁护理杂志,2016,22(05):7-9.
[9]英信莲.护理干预对老年心力衰竭患者治疗依从性及预后的影响探讨[J].中国现代药物用,2015,9(17):235-236.
[2]顾东风,黄广勇,吴锡桂,等.中国心力衰竭流行病学调查及其患病率[J].中华心血管病杂志,2003(01):6-9.
[3]孟静.动机性访谈对提高慢性心力衰竭患者服药依从性的效果研究[D].北京协和医学院,2011.
[4]张美华.动机性访谈对老年慢性心力衰竭患者服药依从性的干预效果研究[D].青岛大学,2018.
[5]陈娟,赵书娥.慢性心力衰竭患者自我护理行为的研究进展[J].中华护理杂志,2015,50(03):360-364.
[6]方乐,张新卫.动机性访谈的理论与实践[J].现代实用医学,2011,23(09):1078-1080.
[7]McHorney CA.The Adherence Estimator:a brief,proximal screener for patient propensity to adhere to prescription medications for chronic disease[J].Curr Med Res Opin,2009,25(1):215-38.
[8]张美华,孙洪巧,张萍萍,等.动机性访谈对慢性心力衰竭患者自我管理行为及服药依从性的影响[J].齐鲁护理杂志,2016,22(05):7-9.
[9]英信莲.护理干预对老年心力衰竭患者治疗依从性及预后的影响探讨[J].中国现代药物用,2015,9(17):235-236.