动机访谈对结肠造口患者自我护理能力的影响

Effect of motivational interviewing on the selfcare ability of patients with colon colostomy

目的探讨动机访谈对提高结肠造口患者自我护理能力的效果。方法将结肠造口患者在门诊复查顺序进行数字编号,双号为实验组38例,单号为对照组35例。对照组给予常规结肠造口相关知识健康教育,实验组实施动机访谈,干预前后采用自我护理能力实施量表(exercise of self-care agency,ESCA)对两组患者进行测评。结果干预后实验组患者ESCA总分及各因子得分高于对照组,两组比较差异均有统计学意义(P<0.001),实验组患者自我护理能力优于对照组。结论动机访谈可提高结肠造口患者自我护理能力。

Objective To evaluate the effect of motivational interviewing on the self-care ability of patients with colon colostomy. Methods Seventy- three patients with colon colostomy were randomly divided into experiment group（ n = 38） and control group（ n = 35）. The patients in the control group received routine colon colostomy education, while the patients in the experiment group received colon colostomy education based on motivational interviewing. The patients were evaluated by exercise of self-care agency scale before and after intervention. Result After intervention, the total score and factor scores by exercise of selfcare agency in the experiment group were significantly improved than those in the control group（P〈 0.001）. Conclusion Motivational interviewing can improve self-care skills of patients with colon colostomy.