动机性访谈对提高慢性阻塞性肺疾病患者戒烟依从性的影响

Effect of motivational interviewing on smoking cessation compliance in patients with COPD

目的:探讨动机性访谈(MI)对提高慢性阻塞性肺疾病(COPD)患者戒烟依从性的影响。方法:采用随机对照研究的方法将71例COPD患者按住院号随机分为干预组36例和对照组35例,干预组采用MI干预方法,根据其行为阶段进行干预;对照组采用常规戒烟教育。干预前及干预后6个月分别评估两组患者的吸烟行为改变阶段及生活质量监测指标。结果:干预6个月后,干预组吸烟行为改变阶段及生活质量监测指标与对照组比较差异有统计学意义(P<0.05)。结论:MI通过激发患者的内在改变动机,可增强患者戒烟意愿,提高患者戒烟依从性,有效改善患者生活质量。

Objective： To explore the effect of motivational interviewing（ MI） on improving the compliance of smoking cessation in patients with chronic obstructive pulmonary disease（ COPD）. Methods： 71 patients with COPD were randomized into the intervention group（ n = 36） and the control group（ n = 35） according to the admission number. The motivational interviewing was adopted in the intervention group and the intervention was implemented according to the stages of behavioral changes; the conventional smoking cessation education was given to the patients in the control group. Before the intervention and after the intervention for 6 months,the change of behavior and quality of life of the patients were assessed in the two groups. Results： After 6 months of intervention,there were statistically significant differences in the comparison of the change of behavior and quality of life of the patients between the two groups（ P〈 0. 05）. Conclusion：The motivational interviewing can enhance the patients＇ smoking cessation intention and improve the smoking cessation compliance and the quality of life of the patients by stimulating the intrinsic change motivation.