动机性访谈对性传播感染的家庭认知行为干预研究

Motivational Interviewing Intervention on Cognitive Behaviors in Family with Sexually Transmitted Infections

目的针对妇女性传播感染的影响因素,从家庭层面探析动机性访谈的干预效果。方法采用动机性访谈中询问、告知和倾听等核心技术,以家庭为单元,对农村妇女及其配偶的相关生殖健康行为进行干预。结果干预后农村妇女及其配偶性传播感染相关行为的发生率与干预前相比,均显著降低,差异有统计学意义(P<0.05);但男性的行为反馈率明显低于女性,差异有统计学意义(P<0.01),男性依从性较差。结论以社区家庭为基本单元,采用动机性访谈技术对农村夫妇进行认知行为干预,是改善性传播感染相关行为的有效措施;妇女性传播感染的预防与控制应充分考虑其配偶的参与和责任。

Objective To explore the effect of motivational interviewing（MI） intervention on the influential factors of woman sexually transmitted infections（STIs） in family.Methods Three core motivational interviewing skills（asking,informing,and listening） of MI were applied to change rural women and their spouse′s reproductive health behaviors in family unit.Results The incidence rates of women and their spouse′s behaviors related with STIs were significantly decreased after MI intervention,as compared with before MI intervention（P0.05）.But male behavior feedback rate was lower than female significantly（P0.01）,with a poor compliance.Conclusion It is an effective measure to improve the behaviors related with STIs to apply MI skills intervention taking community family as the basic unit for rural couples.The spouse′s participation and responsibility should been considered adequately for prevention and control of women′s STIs.