动机性访谈结合社交媒体工具对高血压Ⅱ级病人生活质量的影响

Effect of motivational interview combined with social media tools on quality of life of grade Ⅱ hypertensive patients

[目的]探讨动机性访谈结合社交媒体工具对高血压Ⅱ级病人生活质量的影响。[方法]选取我院2015年1月—2016年1月收治的98例高血压Ⅱ级病人,按随机数字表的方法分为观察组和对照组各49例,对照组病人使用常规的健康教育模式进行干预,观察组病人使用动机性访谈结合社交媒体工具进行干预,比较两组病人干预前后的心理状态和血压值,同时对两组病人的自我管理行为和随访1年的生活质量进行评估。[结果]观察组病人干预后的血压值明显优于干预前和对照组,差异有统计学意义(P<0.05);干预前,两组病人的汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)差异无统计学意义(P>0.05),干预后两组病人的HAMD和HAMA量表评分明显低于干预前,且观察组低于对照组(P<0.05);观察组病人的自我管理能力和生活质量评分明显优于对照组(P<0.05)。[结论]动机性访谈结合社交媒体工具减轻了病人的不良情绪,并有助于稳定病人的血压,提高病人的自我管理能力和生活质量。

Objective:To probe into the effect of motivational interview combined with social media tools on quality of life of patients with grade Ⅱ hypertensive patients.Methods:A total of 98 cases of hypertensive patients with grade Ⅱ were selected in our hospital from January 2015 to January 2016,were divided into the observation group and the control group with 49 cases in each group according to the random number table method.The patients in control group were given intervention by using routine health education model,while the patients in observation group used motivational interview combined with social media tools.Psychological status and blood pressure were evaluated respectively before and after the intervention for two groups of patients.At the same time,the self-management behaviors of two groups of patients and the quality of life of patients were evaluated after the one year of follow-up.Results:The blood pressure of patients in observation group after the intervention was significantly better than that in control group before intervention,the difference was statistically significant(P<0.05).Before the intervention,the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)of two groups of patients were no statistically significant difference(P>0.05),after the intervention,HAMD and HAMA scores of two groups of patients were significantly lower than before intervention,and those in observation group were lower compared with control group(P<0.05).In addition,self-management ability and quality of life score in observation group were better than those in control group(P<0.05).Conclusions:Motivational interview combined with social media tools can alleviate patients' bad mood,help stabilize patients' blood pressure,and improve their self-management ability and prognosis.