跨理论模型结合动机性访谈对偏瘫患者康复自我效能研究

Study of trans-theoretical model combined with motivational interviewing on rehabilitation self-efficacy of patients with hemiplegia

目的研究分析跨理论模型(TTM)结合动机性访谈(MI)干预偏瘫患者康复自我效能的影响。方法选取2019年5月—2020年6月赣南医学院第三附属医院收治的86例偏瘫患者作为研究对象,采用随机数字表法分为对照组(43例)和实验组(43例)。对照组患者采用常规护理干预方法,实验组采用TTM结合MI干预方法。比较两组的自我效能感水平[自我效能感量表(GSES)]、日常生活活动能力[Barthel指数(BI)]、生活质量[成人用生活质量评定综合问卷-74(GQOL-74)]、肢体运动功能[Fugl-Meyer运动功能评分法(FMA)]。结果干预前两组患者GSES、BI、GQOL-74评分比较,差异无统计学意义(P>0.05)。干预1个月后,实验组GSES、BI、GQOL-74评分高于对照组,差异有统计学意义(P<0.05)。干预1个月后,实验组FMA评级优于对照组,差异有统计学意义(P<0.05)。结论TTM结合MI能改善偏瘫患者肢体运动功能和日常生活能力,提高患者自我效能感受和生活质量,临床应用价值较高。

Objective To study and analyze the effects of trans-theoretical model(TTM)combined with motivational interviewing(MI)intervention on rehabilitation self-efficacy of patients with hemiplegia.Methods A total of 86 patients with hemiplegia admitted to the Third Affiliated Hospital of Gannan Medical University from May 2019 to June 2020 were selected as the study subjects,and they were divided into the control group(43 cases)and the experimental group(43 cases)according to the random number table method.The control group received with routine nursing intervention method,and the experimental group received with TTM combined with MI intervention method.The self-efficacy level(general self-efficacy scale[GSES]),ability of daily living(barthel index[BI]),quality of life(generic quality of life inventory-74[GQOL-74])and body movement function(Fugl-Meyer assessment[FMA])were compared between the two groups.Results Before intervention,there were no statistically significant differences in the scores of GSES,BI,GQOL-74 between the two groups(P>0.05).After one month of intervention,the scores of GSES,BI,GQOL-74 in experimental group were higher than those in the control group,with statistically significant differences(P<0.05).After one month of intervention,the FMA grade of the experimental group was better than that of the control group,with statistically significant difference(P<0.05).Conclusion TTM combined with MI could improve the body movement function and ability of daily living and enhance the self-efficacy and quality of life of patients with hemiplegia,with high clinical application value.