延续性动机性访谈对慢性心力衰竭患者情感状况的影响

Effect of Motivational Interview on Anxiety and Depression in Patients with Chronic Heart Failure

目的：探讨延续性动机性访谈对慢性心力衰竭患者情感状况的影响。方法：选取2014年10月至2016年9月于我院接受慢性心力衰竭治疗的患者124例,按照随机数表法随机分为对照组与观察组,各62例。两组患者均给予常规的抗心衰药物治疗,对照组患者行常规的健康教育,观察组患者行延续性动机性访谈教育。1个月后,比较两组患者干预治疗前后的焦虑、抑郁等情感状况,治疗的依从性以及生活质量。结果：干预治疗前,两组患者的医院焦虑与抑郁量表（HADS）评分、生活质量评分比较差异无统计学意义（P〉0.05）。干预治疗后,观察组焦虑、抑郁评分分别低于对照组得分,差异具有统计学意义（t=-6.829,-7.705;P〈0.05）;观察组的生活质量评分明显高于对照组,差异有统计学意义（t=4.400,P〈0.05）;观察组的治疗依从性（93.55%）明显优于对照组（69.35%）,差异有统计学意义（χ^2=12.010,P〈0.05）。结论：延续性动机性访谈能够减轻慢性心力衰竭患者的焦虑和抑郁程度,明显改善情感状况,并提高患者的治疗依从性和生存质量。

Objective：To explore the effect of motivational interview on emotional state and quality of life in patients with chronic heart failure.Methods：A total of 124 patients from October 2014 to September 2016 in our hospital for the treatment of chronic heart failure were selected and randomly divided into control group and observation group,62 cases in each.The two groups of patients were given conventional treatment of anti-heart failure drugs,besides control group took routine health education,patients in the observation group had interview action machine education.After a month,we compared anxiety,depression treatment compliance and quality of life between the two groups of patients before and after treatment intervention.Results：There was no significant difference in the hospital anxiety and depression scale（HADS）score and quality of life score between the two groups before intervention（P〉0.05）.After intervention,the anxiety and depression scores in the observation group were lower than that of the control group,the difference were statistically significant（t=-6.829,-7.705,P〈0.05）.The quality of life score in the observation group was significantly higher than that in the control group,the difference was statistically significant（t=4.400,P〈0.05）.The treatment compliance in the observation group was better than that of the control group,the difference was statistically significant（χ^2=12.010,P〈0.05）.Conclusion：Motivational interview can reduce anxiety and depression,improve the emotional situation in patients with chronic heart failure,and can improve the patient＇s compliance and quality of life.