采用基于CICARE沟通模式的动机性访谈教育对改善稳定期COPD患者生活质量及心理状态的作用

The Effect of Motivational Interview Education Based on CICARE Communication Mode on Improving the Quality of Life and Mental State of Patients with Stable COPD

目的探讨稳定期慢性肺阻塞性疾病(COPD)患者采用基于CICARE沟通模式的动机性访谈教育对遵医行为的促进作用。方法方便选取2019年8月—2020年6月在该院进行治疗的66例稳定期COPD患者作为研究对象,按照不同的护理干预模式将其分为对照组(n=33)与观察组(n=33),对照组实施常规护理干预,观察组实施基于CICARE沟通模式的动机性访谈教育模式。观察两组患者的遵医行为依从性、生活质量、心理状况等相关情况。结果对照组遵医行为依从率为75.76%,观察组为78.79%,两组比较差异无统计学意义(P>0.05)。对照组生活质量水平评分为(27.39±5.21)分,观察组为(32.84±4.57)分,对照组明显低于观察组,差异有统计学意义(t=4.518,P<0.05);对照组焦虑评分为(6.94±1.51)分、抑郁评分为(5.97±1.82)分,观察组为(5.91±2.43)分、(5.11±1.53)分,对照组明显高于观察组,差异有统计学意义(t=2.068、2.078,P<0.05)。结论对稳定期COPD患者采用基于CICARE沟通模式的动机性访谈教育,能有效的改善患者的心理状况,使患者以乐观积极的心态面对治疗,有助于促进疾病康复,提升生活质量水平,值得应用。

Objective To explore the role of motivational interview education based on CICARE communication mode in patients with stable chronic pulmonary obstructive disease(COPD)in promoting compliance behavior.Methods Conveniently select 66 patients with stable COPD who were treated in this hospital from August 2019 to June 2020 were taken as the research objects.According to different nursing intervention models,they were divided into control group(n=33)and observation Group(n=33),the control group implemented routine nursing intervention,and the observation group implemented a motivational interview education model based on the CICARE communication model.Observe the two groups of patients'compliance,quality of life,psychological status and other related conditions.Results The compliance rate of the control group was 75.76%,and the observation group was 78.79%.There was no significant difference between the two groups(P>0.05).The quality of life score of the control group was(27.39±5.21)points,the observation group was(32.84±4.57)points,the control group was significantly lower than the observation group,the difference was statistically significant(t=4.518,P<0.05);the control group was anxious The score was(6.94±1.51)points,the depression score was(5.97±1.82)points,the observation group was(5.91±2.43)points,(5.11±1.53)points,the control group is significantly higher than the observation group,the difference was statistically significant(t=2.068,2.078,P<0.05).Conclusion The use of motivational interview education based on the CICARE communication model for patients with stable COPD can effectively improve the patient’s psychological condition,enable patients to face treatment with an optimistic and positive attitude,and help promote disease recovery and improve the quality of life.It is worth applying.