动机访谈对首发脑栓塞患者抗凝治疗依从性的影响

The effect of motivational interviewing on the compliance of anticoagulation therapy in patients with cerebral embolism

目的:观察动机访谈对首发脑栓塞患者华法林抗凝治疗依从性的影响。方法:选取2016年1月至2016年9月收治的首发脑栓塞患者40例,随机分为对照组、干预组各20例,对照组给予脑栓塞护理常规及健康宣教,干预组在表现护理基础上,给予动机访谈,干预前后评估两组患者治疗依从性、治疗信心、治疗意愿等方面。结果:干预组对脑栓塞华法林抗凝治疗的依从性、治疗意愿、治疗信心均高于对照组(P<0.05)。结论:动机访谈能有效提高脑栓塞患者华法林抗凝治疗的依从性,优化治疗效果。

Objective： To explore the effect of motivational interviewing on the compliance of anticoagulation therapy in patients with cerebral embolism. Methods： From January 2016 to September 2016,40 patients were conveniently selected and randomly divided into the control group and the intervention group with 20 cases in each group. The control group was given routine medication education. The intervention group was given the motivational interviewing intervention on the basis of the control group. We compared the effect between the two groups. Results： In the observation group, the compliance and willing and confidence of anticoagulation therapy was significantly better than that of the control group（P〈0.05）. Conclusion： Motivational interviewing can effectively improve the compliance of anticoagulation therapy in patients with cerebral embolism. It has important significance to improve the effect of warfarin anticoagulation therapy.