动机访谈式健康教育对慢性肾脏病患者自我管理能力及护理满意度的影响

Influence of Motivational Interview Health Education on Self-Management Ability and Nursing Satisfaction in Patients with Chronic Kidney Disease

目的:探究在治疗过程中,实行动机访谈式健康教育的方式,是否影响慢性肾脏病患者自我管理能力及护理满意度。方法:选取本院2019年2-9月收治的80例慢性肾脏病患者,随机分为常规组、研究组,每组40例。比较干预前后两组自我管理能力及护理满意度。结果:干预前,研究组、对照组自我管理行为评分[(78.56±10.11) vs (78.94±10.07)]和自我效能评分[(20.44±2.63) vs (20.54±2.57)]对比,差异无统计学意义(P>0.05);干预6个月后,研究组的自我管理行为和自我效能评分为(105.48±11.40)、(48.48±2.28)分,均明显高于常规组的(87.94±9.12)、(36.92±2.49)分(P<0.05)。研究组满意度略高于常规组,差异无统计学意义(χ^2=1.133,P>0.05)。结论:实行动机访谈式健康教育的方式,有益于慢性肾脏病患者自我管理能力提升,是一种行之有效的健康教育方式。

Objective:To investigate whether the implementation of motivational interview health education in the treatment process affects the self-management ability and nursing satisfaction in patients with chronic kidney disease.Method:Eighty patients with chronic kidney disease from February to September 2019 in our hospital were selected and randomly divided into the conventional group and the study group,40 cases in each group.The self-management ability and nursing satisfaction between the two groups were compared before and after intervention.Result:Before the intervention,there were no significant differences between the self-management ability score[(78.56±10.11) vs (78.94±10.07)]and self-efficacy score[(20.44±2.63) vs (20.54±2.57)]of the study group and the conventional group (P>0.05);6 months after the intervention,the self-management ability and self-efficacy scores of the study group were (105.48±11.40),(48.48±2.28) points,which were significantly higher than (87.94±9.12),(36.92±2.49) points of the conventional group (P<0.05).The satisfaction of the study group was slightly higher than that of the conventional group,there was no significant difference (χ^2=1.133,P>0.05).Conclusion:The implementation of motivational interviewing health education is beneficial to the improvement of self-management ability of patients with chronic kidney disease,and it is an effective way of health education.