动机性访谈在体检中心慢病健康管理中的应用

Application of Motivational Interviewing in Chronic Disease Health Management in Medical Examination Center

目的探探究与分析动机性访谈在体检中心慢病健康管理中的应用。方法选取本院自2017年6月—2019年6月收治的慢病患者120例,采取随机数字表法分为对照组与观察组,每组各60例,对照组给予常规健康管理,观察组给予动机性访谈健康管理,对比两组患者不良生活方式改善情况及生活质量评分。结果两组健康管理后与健康管理前相比吸烟、饮酒、水果蔬菜摄入不足、体能锻炼不足、无法遵循医嘱患者所占比例明显降低,观察组健康管理后与对照组健康管理后相比上述指标改善更加显著,组间差异具有统计学意义(P<0.05)。两组健康管理后与健康管理前相比躯体功能、认知功能、角色功能、情绪功能以及社会功能评分均升高,观察组健康管理后与对照组健康管理后相比上述评分改善更加显著,组间差异具有统计学意义(P<0.05)。结论将动机性访谈应用于体检中心慢病健康管理工作中可明显改善患者的不良生活方式,促进提高生活质量。

Objective To explore and analyze the application of motivational interviewing in the chronic disease health management of the physical examination center.Methods A total of 120 chronically ill patients admitted to the hospital from June 2017 to June 2019 were selected and divided into a control group and an observation group by random number table method,with 60 cases in each group.The control group was given routine health management and the observation group was given motivational interviews for health management,and the poor lifestyle improvement and quality of life scores was compared in the two groups.Results Compared with before health management,the proportions of patients with smoking,drinking,inadequate intake of fruits and vegetables,inadequate physical exercise,and inability to follow doctor's orders were significantly reduced after health management in the two groups.The difference between the groups was statistically significant(P<0.05).The scores of physical function,cognitive function,role function,emotional function and social function of the two groups after health management were higher than before the health management.The improvement of the above-mentioned scores after the health management of the observation group was more significant than that after the control group.The difference between the groups was statistically significant(P<0.05).Conclusion Applying motivational interviews to the management of chronic diseases in the physical examination center can significantly improve the patients’unhealthy lifestyle and promote the improvement of quality of life.