动机性访谈对促进非瓣膜性房颤患者服用华法令的依从性的调查

Investigation of motivational interviewing on promotion of warfarin compliance in patients with non-valvular atrial fibrillation

目的通过对非瓣膜性房颤患者实施动机性访谈(MI),评价患者服用华法令的依从性。方法将80例老年房颤患者随机分为对照组和干预组,各40例。对照组给予常规护理,干预组在此基础上给予MI干预。随访6个月,对干预前、出院时、出院后1个月、3个月6个月时进行问卷调查法分别评估MI对非瓣膜性房颤患者服用华法令的依从性的效果。结果与对照组比较,干预组经MI干预后出院时、1个月、3个月及6个月患者服药依从意愿和信心显著提高(P<0.05)。结论 MI可促进非瓣膜性房颤患者服用华法令的依从性。

Objective To explore effect of motivational interviewing （MI） on promotion of warfarin compliance in patients with non-valvular atrial fibrillation. Methods Eighty patients with at- rial fibrillation were randomly divided into intervention group and control group, 40 cases in each group. The control group was given routine nursing, while the intervention group was given MI inter- vention on the basis of the control group. After 6 months of follow-up, the effects of MI intervention on warfarin compliance were evaluated by questionnaire at the time points of before intervention, hospital discharge and 1, 3, 6 months after hospital discharge. Results Compared with the control group, the willing and confidence of drug administration compliance at the time points of hospital discharge and 1, 3, 6 months after hospital discharge were significantly better in the intervention group （P 〈 0.05）. Conclusion MI can promote the compliance of warfarin in patients with non-valvular atrial fibrillation.