动机性访谈护理干预对慢性心衰患者自我行为及心功能的影响

Effect of Motivational Interview Nursing Intervention on Self-behavior and Cardiac Function in Patients with Chronic Heart Failure

目的研究动机性访谈(MI)护理干预对慢性心衰(CHF)患者自我行为及心功能的影响。方法选取2020年5月-2022年5月天津市胸科医院收治的82例CHF患者,根据随机数字表法分为观察组(41例)与对照组(41例),对照组给予常规护理干预,观察组在其基础上应用MI护理干预,比较两组自我行为[健康行为量表(HPLP)、心衰自我护理量表(SCHFI)]、心功能[血清脑钠肽(BNP)、6分钟步行试验距离(6MWT)]、一般自我效能感量表(GSES)评分、明尼苏达心力衰竭生活质量调查表(LiHFe)评分及护理满意度。结果两组干预后HPLP、SCHFI评分均高于干预前,且观察组HPLP、SCHFI评分高于对照组(P<0.05);两组干预后BNP水平低于干预前,6MWT大于干预前,且观察组BNP水平低于对照组,6MWT大于对照组(P<0.05);两组干预后GSES评分高于干预前,LiHFe评分低于干预前,且观察组GSES评分高于对照组,LiHFe评分低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论MI护理干预可有效提升CHF患者的健康行为管理及自护能力,促进其心功能恢复,同时改善患者的自我效能及生活质量,提高护理满意度。

Objective To study the effect of motivational interviewing(MI)nursing intervention on self-behavior and cardiac function in patients with chronic heart failure(CHF).Methods A total of 82 patients with CHF admitted to Tianjin Chest Hospital from May 2020 to May 2022 were selected and divided into observation group(41 patients)and control group(41 patients)according to the random number table method.The control group was given routine nursing intervention,and the observation group was given MI nursing intervention on the basis of the control group.The self-behavior[Health-promoting Lifestyle Profile(HPLP),Self-Care of Heart Failure Index(SCHFI)],cardiac function[serum brain natriuretic peptide(BNP),6-minute walking test(6MWT)],General Self-efficacy Scale(GSES)score,Minnesota heart failure quality of life questionnaire(LiHFe)score and nursing satisfaction were compared between the two groups.Results The HPLP and SCHFI scores of the two groups after intervention were higher than those before intervention,and the HPLP and SCHFI scores of the observation group were higher than those of the control group(P<0.05).After intervention,the BNP level of the two groups was lower than that before intervention,the 6MWT was higher than that before intervention,and the BNP level of the observation group was lower than that of the control group,the 6MWT was higher than that of the control group(P<0.05).The GSES score of the two groups after intervention was higher than that before intervention,the LiHFe score was lower than that before intervention,and the GSES score of the observation group was higher than that of the control group,the LiHFe score was lower than that of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion MI nursing intervention can effectively improve the health behavior management and self-care ability of CHF patients,promote the recovery of cardiac function,improve the self-efficacy and quality of life of patients,and improve nursing satisfaction.