在接受关于行为改变阶段模型的培训后，对高血压护理中的生活方式因素进行咨询。

Counselling on lifestyle factors in hypertension care after training on the stages of change model.

作者信息

Drevenhorn Eva, Bengtson Ann, Allen Jerilyn K, Säljö Roger, Kjellgren Karin I

机构信息

The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences, Box 457, SE-405 30 Göteborg, Sweden.

出版信息

Eur J Cardiovasc Nurs. 2007 Mar;6(1):46-53. doi: 10.1016/j.ejcnurse.2006.03.007. Epub 2006 May 15.

DOI:10.1016/j.ejcnurse.2006.03.007

PMID:16698320

Abstract

BACKGROUND

In assisting the nurse's counselling on lifestyle changes in hypertension care a behaviour model can be used.

AIM

To analyse the effects of nurses' training on the use of the stages of change model when counselling hypertensive patients to perform lifestyle changes.

METHODS

As part of a randomised, controlled trial, 19 nurses belonging to the intervention group took part in video-recorded consultation training with simulated patients. To evaluate the training, the nurses audio-recorded their consultations with two patients before and after the intervention. Analysis focused on the areas of non-pharmacological treatment and the nurses' attention to the patients' readiness for change.

RESULTS

Patient participation in the consultations increased after the training. The importance of non-pharmacological treatment was mentioned more frequently for all areas of lifestyle behaviour, exercise, smoking, alcohol consumption, food and stress, and the nurses acquired a more distinct structure for their consultations. The mean length of the recorded consultations increased from 18 min to 20.5 min. All the criteria for fulfillment of attention to patient's readiness to change were met in nine consultations before the training and in seven after it. After the training, attention was paid to support more frequently than before in the action and maintenance stages and a great deal of information was provided.

摘要

背景

在协助护士对高血压患者进行生活方式改变的咨询时，可以使用一种行为模型。

目的

分析护士培训对在向高血压患者咨询生活方式改变时使用改变阶段模型的效果。

方法

作为一项随机对照试验的一部分，干预组的19名护士参加了与模拟患者的视频咨询培训。为了评估培训效果，护士们在干预前后对与两名患者的咨询过程进行了录音。分析集中在非药物治疗领域以及护士对患者改变意愿的关注。

结果

培训后患者在咨询中的参与度有所提高。在生活方式行为、运动、吸烟、饮酒、饮食和压力等所有领域，非药物治疗的重要性被提及得更频繁，并且护士们的咨询结构更加清晰。录音咨询的平均时长从18分钟增加到了20.5分钟。在培训前的9次咨询和培训后的7次咨询中，所有关注患者改变意愿的标准都得到了满足。培训后，在行动和维持阶段比以前更频繁地关注提供支持，并且提供了大量信息。