动机性访谈对人工单侧全髋关节置换术后患者功能康复及生命质量的影响

Motivational Interviewing affect rehabilitation and the quality of life for patients undergoing artificial unilateral total hip replacement

目的：评价动机性访谈在促进人工单侧全髋关节置换术后患者功能康复及生命质量的效果。方法采用便利取样法，收集人工单侧全髋关节置换术后患者103例为研究对象，用抽签法随机分为干预组53例和对照组50例，在对照组常规健康教育基础上，干预组采用动机性访谈进行关节功能锻炼干预。结果患者关节功能Harris评分术后1个月对照组为（54.06±9.61）分，干预组为（62.40±8.95）分，3个月后对照组为（74.60±9.97）分，干预组为（82.25±7.09）分，2组比较差异均有统计学意义（t=-4.559、-4.451，均P=0.000）。生命质量评分术后1个月对照组为（400.69±72.36）分，干预组为（485.54±86.85）分，术后3个月对照组为（543.08±81.77）分，干预组为（601.54±73.49）分，2组比较差异均有统计学意义（t=-5.370、-3.821，均P=0.000）。结论动机性访谈通过激发患者的改变动机，促进患者建立并坚持关节功能锻炼的行为，有效提高关节功能康复及生命质量。

Objective To evaluate the influence of Motivational Interview on function restore and life quality after artificial unilateral total hip replacement surgery. Methods A convenient sampling method was used for collecting 103 patients underwent artificial unilateral total hip replacement surgery for the study. Lottery method was used to divide these patients in to treatment group 53 cases and control group 50 cases. Intervention of both joint exercise and motivational interview was used for the treatment group, and routine health education was used for the control group in a large general hospital in Hangzhou. Results 1 month later, patients′joint function assessed with Harris score of the intervention group and control group were 62.40 ± 8.95 and 54.06 ± 9.61; 3 months later, intervention group was 82.25 ± 7.09 while control group was 74.60 ± 9.97, the difference was statistically significant (t=-4.559 and-4.451, P=0.000). Patients′life quality after 1 month was 485.54 ± 86.85 in intervention group and 400.69 ± 72.36 in control group;3 months later, the scores were 601.54 ± 73.49 and 543.08 ± 81.77, the difference was statistically significant (t=-5.370 and-3.821, P=0.000). Conclusions Motivational Interview was capable of improving joint function restore and quality of life through changing patients′ motivation, helping patients establishing and adhering to joint exercise.