阶段性干预下动机性访谈对脑卒中后遗症患者生活能力的临床价值

The clinical value of opportunistic interview on the life ability of the patients with stroke sequelae under transtheoretical model intervention (TT-MI)

目的探讨在阶段性干预指导下的动机性访谈对脑卒中后遗症患者生活能力的临床价值。方法抽取滨州医学院附属医院107例脑卒中后遗症患者为实验对象,分为控制组52例及对照组55例。控制组患者住院期间给予医院常规护理以及为期1个月阶段性干预下的动机性访谈4次,时长为20~30 min;出院后每周实施1次电话随访,时长为2个月。对照组患者给予住院常规护理。在干预前、后2周及3个月对两组患者的脑卒中日常生活能力进行评价,分析干预效果。结果干预前、干预后2周两组的改良Barthel指数评分差异无统计学意义(P>0.05);干预后3个月,控制组的改良Barthel指数评分高于对照组,差异有统计学意义(P<0.05)。结论动机性访谈及阶段性干预可以提高脑卒中后遗症患者日常生活能力。

Objective To explore the clinical value of motivational interview under the guidance of transtheoretical model intervention（TFMI） on the life ability of the patients with stroke sequelae. Methods A total of 107 patients with stroke sequelae who were enrolled in Binzhou Medical University Hospital were selected as study subjects. The patients were divided into the intervention group（52 cases） and and the control group（55 cases）. Patients in the intervention group were given hospital routine care and a one-month motivational interview under TFMI for four times during their hospital stay, with the duration of 20-30 minutes each time; after discharge they were given a weekly telephone follow- up, with the duration of 2 months. Patients in the control group were given routine hospital care. The ability of daily life of stroke irl the patients was evaluated before the intervention and 2 weeks and 3 months after the intervention in both groups, and the effect of intervention was analyzed. Results There was no significant difference in the modified Barthel index between the two groups before the intervention and 2 weeks after the intervention （P〉0.05）; The modified Barthel index score in the intervention group was higher than that in the control group 3 months after the intervention, and the difference was statistically significant（P〈0.05）. Conclusion Motivational interviews and TTMI can improve the daily living ability of the patients with stroke sequelae.