Ma Chunhua, Zhou Ying, Zhou Wei, Huang Chunfeng
School of Nursing, Guangzhou Medical University, Guangzhou, China.
The First Affiliated Hospital of SUN YAT-SEN University, Guangzhou, China.
Patient Educ Couns. 2014 May;95(2):231-7. doi: 10.1016/j.pec.2014.01.011. Epub 2014 Jan 30.
This study tests the effectiveness of motivational interviewing compared with the usual care for Chinese hypertensive patients.
A randomised controlled trial was used. One hundred and twenty eligible participants were randomly assigned to either the control group (usual care group) or the intervention group (motivational interviewing group).
The results of this study demonstrated that the total scores and the mean scores for each dimension of the adherence questionnaire were increased in the intervention group (P<0.05), and the systolic blood pressure and diastolic blood pressure of the hypertensive patients greatly decreased in the intervention group during the six months of the motivational interviewing counselling (P<0.05).
The application of motivational interviewing for hypertensive patients is a promising approach for sustaining the clinical benefits of adherence behaviour.
Motivational interviewing should be provided to hypertensive patients at hospitals and community health centres to assist patients in controlling their BP and to enhance treatment adherence. A series of training courses on the motivational interviewing technique should be provided to nurses.
本研究旨在测试与常规护理相比，动机性访谈对中国高血压患者的有效性。
采用随机对照试验。120名符合条件的参与者被随机分配到对照组（常规护理组）或干预组（动机性访谈组）。
本研究结果表明，干预组依从性问卷各维度的总分和平均分均有所提高（P<0.05），在动机性访谈咨询的6个月期间，干预组高血压患者的收缩压和舒张压大幅下降（P<0.05）。
对高血压患者应用动机性访谈是维持依从行为临床益处的一种有前景的方法。
应在医院和社区卫生中心为高血压患者提供动机性访谈，以帮助患者控制血压并提高治疗依从性。应为护士提供一系列关于动机性访谈技术的培训课程。
