动机性访谈对慢性心力衰竭患者服药依从性的干预研究

Nursing Intervention Study on Medication Compliance of Patients with Chronic Heart Failure by Motivational Interview

目的探讨动机性访谈对慢性心力衰竭患者服药依从性的干预效果。方法 2017年12月至2018年11月,采用方便抽样的方法选取德阳市人民医院心血管内科住院治疗的慢性心力衰竭患者80例,第一阶段收集的样本为对照组,第二阶段收集的样本为干预组。采用服药依从评估量表来比较两组患者服药依从性,一般资料调查表确定样本基线一致。结果干预组患者服药依从性高于对照组,且差异具有统计学意义(P<0.05)。结论对慢性心力衰竭患者实施一对一的动机访谈是可行的、有效的,可提高慢性心力衰竭患者服药依从性。

Objective To explore the effect of motivational interview on compliance with medication in patients with chronic heart failure(CHF). Methods From December 2017 to November 2018, 80 patients with chronic heart failure who were hospitalized in Department of Cardiovascular Medicine, Deyang people’s Hospital, were selected by convenient sampling method. The second stage of the collection of samples was the intervention group. The drug compliance assessment scale was used to compare the drug compliance between the two groups. The general information questionnaire confirmed that the baseline of the sample was the same. Results The beliefs about medication of the intervention group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion It is feasible and effective to carry out one-to-one motivation interview in patients with chronic heart failure, and it can improve the compliance of patients with chronic heart failure.