跨理论模型及动机性访谈对PCI术后患者服药依从性的影响

Effects of transtheoretical model and motivational interviewing on medication compliance in patients with PCI post-operation

目的:探讨跨理论模型和动机性访谈对经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者服药依从性的影响。方法 :选取100例PCI术后患者分为观察组(n=50)和对照组(n=50)两组。对照组给予常规护理干预,观察组给予跨理论模型和动机性访谈。比较两组服药依从性、6 min步行距离、主要心脏不良事件(major adverse cardiovascular events,MACE)发生率。结果 :干预后1、3个月及6个月,观察组服药依从性分级均显著提高,与对照组比较差异具有统计学意义(P<0.05)。观察组6 min步行距离显著提高,与对照组比较差异具有统计学意义(P<0.05)。观察组MACE发生率明显低于对照组(10.0%vs 36.0%),两组比较差异具有统计学意义(P<0.05)。结论:跨理论模型和动机性访谈可有效提高PCI术后患者服药依从性,促进术后康复,降低MACE发生率,值得临床推广使用。

Objective To evaluate the effects of transtheoretical model and motivational interviewing on medication ？ compliance in patients with percutaneous coronary intervention（PCI） post-operation. Methods One hundred patients with PCI post-operation were randomized into the observation group（n = 50） and the control group（n = 50）. The medication compliance, 6-min walk test and major adverse cardiovascular events（MACE）were compared between two groups. Results At 1 month, 3 months and 6 months post-intervention, the medication compliance in the observation group was significantly increased（P〈0.05, respectively）. The 6-min walk test in the observation group was significantly increased compared with the control group. The MACE rate in the observation group and the control group was 10.0% and 36.0%, respectively, with significant difference（P〈0.05）. Conclusion The transtheoretical model and motivational interviewing can effectively increase the medication compliance, improve the postoperative rehabilitation, and decrease the MACE rate.