动机访谈式健康教育对稳定期COPD患者的影响

Influence of motivational interviewing health education on the patients with stable COPD

目的探讨动机访谈式健康教育对社区稳定期COPD患者自我效能及生活质量的影响。方法将215例稳定期COPD患者采用随机数字表法分为对照组和观察组,对照组108例,观察组107例。对照组给予常规健康教育,观察组在常规健康教育的基础上给予动机访谈式健康教育。干预前及干预6个月末分别采用COPD自我效能量表、COPD临床问卷进行评定。结果干预6个月末观察组患者自我效能和生存质量总分分别为(77.57±5.74)分和(29.84±4.14)分,与对照组比较差异有统计学意义(P<0.01或P<0.05)。结论动机访谈式健康教育能有效改善稳定期COPD患者的自我效能和生活质量,是一种行之有效的行为改变策略。

Objectives To explore the effects of motivational interviewing health education on the self - efficacy and quality of life of community patients with stable COPD. Methods 215 COPD patients were randomly divided into two groups,the control group was 108 cases,the observe group was 107 cases. Pa- tients in the control group were provided the routine health education ,and patients in the intervention group received motivational interviewing health education based on routine health education. Measurements were taken at baseline and 6 months later on COPD self - efficacy score and COPD score. Results After 6 months intervention,the total scores of self - efficacy and CCQ in the intervention group were （77.57 ±5.74 ） and （29.84 ± 4.14） respectively, there was a significant statistics difference between the intervention group and the control group （ P 〈 0.01 or P 〈 0.05 ）. Conclusions Motivational interviewing health ed- ucation has an impact on the self - efficacy and quality of life of COPD patients with stable state.