基于动机性访谈延续护理促进断指再植患者康复的效果观察

Effect of Motivational Interviewing-based Extended Nursing on Rehabilitation of Patients with Finger Replantation

目的探讨动机性访谈延续护理促进断指再植患者康复的应用效果。方法选取我科行断指再植患者100例,采用随机数字表法随机分为观察组和对照组各50例,对照组给予常规出院健康教育及随访,观察组在对照组的基础上给予动机性访谈延续护理。分别于出院时、出院后1个月末、6个月末观察患者康复知识水平、康复训练依从性、日常生活能力、再植指功能恢复情况。结果 2组患者出院时康复知识得分、康复训练依从性、日常生活能力、再植指功能得分比较差异无统计学意义(P>0.05);观察组出院后1个月末、6个月末康复知识得分、康复训练依从性、日常生活能力、再植指功能得分高于对照组(P<0.05)。结论动机性访谈延续护理能提高断指再植患者对康复训练知识水平及依从性,保证康复训练实施,提高患者日常生活能力,促进再植指功能恢复。

Objective To explore the effect of motivational interviewing（MI）-based extended nursing on the rehabilitation of patients with finger replantation. Methods One hundred patients with finger replantation were randomly divided into observation group and control group with fifty cases in each group. Routine discharge health education and follow-up were performed in control group and MI-based extended nursing was conducted in observation group in addition to health education and follow-up. Rehabilitation knowledge, compliance of rehabilitation training, activity of daily living （ADL） and function recovery of replanted finger in both groups were observed when discharged, at the end of 1 month after discharge and at the end of 6 months after discharge. Results There was no significant difference in terms of rehabilitation knowledge, compliance of rehabilitation training, ADL and function recovery of replanted finger （P〉0.05） when discharged but there was higher scores of rehabilitation knowledge, compliance of rehabilitation training, ADL and function recovery of replanted finger at the end of 1 month and 6 months after discharge in observation group （ P〈0.05）. Conclusion MI-based extended nursing benefits the promotion of rehabilitation knowledge and compliance of rehabilitation training and the improvement of patients ’ ADL and the recovery of replanted fingers.