针对性动机性访谈对慢性心力衰竭护理期间自我护理水平及预后的影响
Influence of targeted motivational interviewing on self-care level and prognosis during nursing care of chronic heart failure.
作者信息
Wu Jianfei, Yu Yilan, Xu Huan
机构信息
Department of Cardiovascular Medicine, The First People's Hospital of Fuyang Hangzhou Hangzhou 311400, Zhejiang Province, China.
Department of Intensive Care Unit, The First People's Hospital of Fuyang Hangzhou Hangzhou 311400, Zhejiang Province, China.
出版信息
Am J Transl Res. 2021 Jun 15;13(6):6576-6583. eCollection 2021.
OBJECTIVE
To analyze the effects of targeted motivational interviewing (TMI) during the nursing care for chronic heart failure (CHF).
METHODS
A total of 93 patients with CHF admitted to our hospital were selected as study subjects, and were divided into Group A (n=47) and Group B (n=46) in accordance with a randomized double-blind method. Group A was treated with TMI, while Group B was treated with the conventional nursing care for heart failure (HF). The self-care levels (self-care of heart failure index), medication compliance (Morisky's medication compliance scale), quality of life (Minnesota Living with Heart Failure Questionnaire), and prognosis (the readmission and mortality rates) were compared between the 2 groups.
RESULTS
After nursing care, patients in Group A were higher than those in Group B in their scores of self-care maintenance, management and confidence, medication frequency, time, dose, and type as instructed by the physician, and drug withdrawal or discontinuation of drugs, and forgetting medication, and body, emotion, and other fields ( < 0.05). Group A was superior to Group B in the rates of medication compliance and medication non-compliance (61.70% and 6.38% vs. 41.30% and 23.91%, < 0.05); rate of hospital readmission (6.38% vs. 23.91%, < 0.05), and mortality rate (0% vs. 6.52%, > 0.05).
CONCLUSION
TMI is conducive to improving the self-care level, medication compliance, quality of life, and prognosis in patients with CHF.
目的
分析针对性动机性访谈（TMI）在慢性心力衰竭（CHF）护理中的效果。
方法
选取我院收治的93例CHF患者作为研究对象，采用随机双盲法分为A组（n = 47）和B组（n = 46）。A组采用TMI进行治疗，B组采用常规心力衰竭（HF）护理。比较两组患者的自我护理水平（心力衰竭自我护理指数）、用药依从性（Morisky用药依从性量表）、生活质量（明尼苏达心力衰竭生活问卷）和预后（再入院率和死亡率）。
结果
护理后，A组患者在自我护理维持、管理和信心、按医嘱用药频率、时间、剂量和类型、停药或中断用药以及遗忘用药、身体、情绪等方面的得分均高于B组（<0.05）。A组在用药依从率和用药不依从率方面优于B组（61.70%和6.38% vs. 41.30%和23.91%，<0.05）；再入院率（6.38% vs. 23.91%，<0.05）和死亡率（0% vs. 6.52%，>0.05）。
结论
TMI有助于提高CHF患者的自我护理水平、用药依从性、生活质量和预后。
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