基于动机激发策略为框架的健康教育对青光眼患者遵医行为及日常生活能力的影响

The influence of education on medical compliance and daily life ability of glaucoma patients based on motivational strategies

目的探讨基于动机激发策略为框架的健康教育对青光眼患者遵医行为及日常生活能力的影响。方法选取2013年11月-2016年5月该院青光眼患者66例，根据建档顺序分为对照组与研究组，各33例。对照组采用常规健康教育，研究组在常规健康教育基础上实施基于动机激发策略为框架的健康教育。3个月后进行随访，对比两组患者的遵医行为、护理满意度、干预前后13常生活能力评分（ADL）变化情况及疾病改善情况（视野缺损、眼压）。结果研究组主动寻求专业帮助、定时复查、自我监测、情绪调节、规避疾病诱发因素、正确用药遵医率高于对照组，差异均有统计学意义（均P〈0．05）；干预后，两组的ADL较干预前增高，且研究组高于对照组，差异有统计学意义（P〈0．05）；干预后，两组视野缺损及眼压均较干预前降低，且研究组低于对照组，差异有统计学意义（均P〈0．05）；研究组的护理满意度显著高于对照组，差异有统计学意义（P〈0．05）。结论采取基于动机激发策略为框架的健康教育效果显著，可有效改善青光眼患者遵医行为，控制病情，提高患者的日常生活能力及护理满意度。

Objective To explore the effects of health education based on motivation strategy on glaucoma patients＇ compliance behavior and daily living ability, Methods From January 2013 to May 2016, 66 patients with glaucoma in hospital were randomly divided into control group and study group according to the file order, 33 cases of each group. The control group was treated with conventional health education. The study group implemented health education based on motivational strategies based on routine health education. 3 months after follow-up, compliance behavior, nursing satisfaction, daily life rating （ADL） before and after the intervention and disease improvement （visual field defect, intraocular pressure） were statistically compared between the two groups. Results Actively seeking professional help, regular review, self-monitoring, emotional regulation, avoid the disease-induced factors, the correct medication compliance rate of the study group were higher than those of the control group, and the differences were statistically significant （P〈0. 05 ）. The ADL scores after intervention between the two groups were significantly higher than those before intervention, and the study group was significantly higher than that in the control group, and the difference was statistically significant （P〈0. 05 ）. The visual field defects and intraocular pressure after intervention between the two groups were group, and significantly sions The lower than those before intervention, and the study group was significantly lower than that in the control the difference was statistically significant （P〈0. 05）. The nursing satisfaction rate of the study group was higher than that of the control group, and the difference was statistically significant （P〈0. 05）. Conclueffect of health education based on motivational incentive strategy is significant, which can effectively improve the compliance, control the condition and improve the daily living ability and nursing satisfaction.