中国全科医学Issue(31)：3738-3741,3751,5.DOI:10.3969/j.issn.1007-9572.2014.31.020
基于跨理论模型动机访谈促进首发脑卒中患者健康行为的效果研究
Effect of Motivational Interviewing Based on Transtheoretical Model on Health Behaviors of Initial Stroke Patients LIN
摘要
Abstract
Objective To evaluate the influence of motivational interviewing based on Transtheoretical Model(TTM) on health behaviors of initial stroke patients. Methods From November 2012 to June 2013,sixty patients from one hospital of Zhengzhou,were conveniently selected and randomly divided into two groups according to their admission order. Patients in con-trol group(n = 30)received routine stroke education while the patients in intervention group(n = 30)received motivational in-terviewing based on TTM including diet,exercise management,smoking cessation and limited alcohol behaviors. The patients of both groups were evaluated about their health behavior knowledge,attitude,healthy behavior stage and behavior confidence be-fore and after intervention. Results The differences of health behavior knowledge scores and attitude scores in control group and intervention group before and after intervention were both significant,they were〔(3. 60 ± 2. 16), (19. 47 ± 5. 18)〕and〔(4. 87 ± 2. 44),(22. 73 ± 4. 87)〕respectively in control group(t = - 3. 379, - 14. 903,P < 0. 05)and〔(4. 70 ± 2. 71), (20. 70 ± 2. 64)〕and〔(11. 47 ± 1. 46),(32. 63 ± 3. 34)〕respectively in intervention group(t = - 4. 533, - 14. 582,P <0. 05). The improvement degree in intervention group was superior to that in control group(P < 0. 05). Before intervention, there were 21 patients in pre - intention stage,4 in intention stage,4 in preparing stage and 1 in behavior stage in intervention group while after intervention they were 2,8,7,13 respectively and the difference was significant(χ2 = 28. 133,P < 0. 05). After intervention,in terms of behavior confidence,in control group 11 patients were in low level,15 were in middle level,4 patients were in high level while in intervention group 5 were in low level,10 were in middle level,15 were in high level;the difference was significant(χ2 = 9. 618,P < 0. 05). Conclusion Motivational interviewing based on TTM,an effective tech-nique in change of cognition and behavior,can improve health behavior knowledge,attitude and behavior confidence of initial stroke patients.关键词
卒中/健康行为/跨理论模型/交谈,心理学/动机访谈Key words
Stroke/Health behavior/Transtheoetical model/Interview,psychological/Motivational interviewing分类
医药卫生引用本文复制引用
林蓓蕾,张振香,康佳迅,易景娜,梅永霞..基于跨理论模型动机访谈促进首发脑卒中患者健康行为的效果研究[J].中国全科医学,2014,(31):3738-3741,3751,5.基金项目
河南省教育厅科学技术研究重点项目 （）
郑州市科技局科技攻关计划项目 （）
