动机性访谈对溃疡性结肠炎患者用药依从性及其自我效能的影响

Effect of motivational interviewing on the medication adherence and self-efficacy in patients with ulcerative colitis

目的 探讨动机性访谈对溃疡性结肠炎患者用药依从性及其自我效能的影响.方法 采用方便抽样法选取81例溃疡性结肠炎患者为研究对象,按照计算机生成的随机数字表法分为对照组40例和干预组41例,对照组采用常规健康教育方法,干预组采用已制订的动机性访谈计划,通过访谈发现患者治疗过程及自我管理中存在的问题,并与其共同制订解决方案.结果 干预后第1、3个月,干预组患者的用药依从性得分分别为(7.20±0.85)分和(6.57±1.02)分,均高于对照组的(6.48±0.71)分和(5.98±0.85)分,差异有统计学意义(t=3.868、2.655,均P＜0.05),干预后3个月,干预组的自我效能为(229.73±14.61)分,优于对照组的(213.60±13.06)分,差异有统计学意义(t=5.233,P＜0.01).结论 动机性访谈在提高溃疡性结肠炎患者用药依从性和自我效能方面较常规溃疡性结肠炎的健康教育方法具有显著优势.

Objective To evaluate the effect of motivational interviewing (MI) on the medication adherence and self-efficacy in patients with ulcerative colitis.Methods Totally 81 patients with ulcerative colitis were randomly divided into the control group(n=40) and the experimental group(n=41).The patients in the control group received routine ulcerative colitis education,while the patients in the experimental group received developed motivational interviewing intervention.The problems existing in treatment course were found out through interview and protocols were made with patients together.Results One and three months after the intervention,the scores of medication adherence in the experimental group were (7.20±0.85) and (6.57±1.02),higher than those of the control group(6.48±0.71) and (5.98±0.85),t=3.868,2.655,both P＜ 0.05.Self-efficacy scored higher in the experimental group than that of the control group,(229.73±14.61) vs.(213.60±13.06),t=5.233,P ＜ 0.01.Conclusions Motivational interviewing is much more effective than routine education on the improvement of medication adherence and self-efficacy in patients with ulcerative colitis.