目的 探讨运用动机性访谈对经皮冠状动脉介入(PCI)术后患者康复运动干预的效果.方法 采用方便取样法,在苏州市某医院选取132例住院治疗的PCI术后患者,按随机数字表法随机分为干预组68例和对照组64例,干预组采用动机性访谈干预,对照组采用常规健康指导.结果 出院后1个月干预组患者运动改变阶段中前意向、意向、准备、行动、维持的例数分别为0,1,0,56,11例,对照组分别为0,10,7,35,12例,两组差异有统计学意义(Z=-2.23,P＜0.05)；出院后3个月干预组患者运动改变阶段中前意向、意向、准备、行动、维持的例数分别为0,1,0,56,11例,对照组分别为13,12,2,25,12例,两组差异有统计学意义(Z=-3.62,P＜0.01)；出院后6个月干预组患者运动改变阶段中前意向、意向、准备、行动、维持的例数分别为0,0,0,3,65例,对照组分别为20,8,1,1,34例,两组差异有统计学意义(Z=-5.70,P＜0.01).出院后1,3,6个月干预组患者运动频率均≥5次/周,运动频率与对照组比较,差异有统计学意义(x2值分别为-4.22,-6.10,-7.12;P ＜0.01)；运动持续时间差异有统计学意义(x2值分别为-4.96,-5.93,-7.24;P ＜0.01).结论 动机性访谈干预可帮助PCI术后患者增强运动意愿及提高运动依从性.
目的 探討運用動機性訪談對經皮冠狀動脈介入(PCI)術後患者康複運動榦預的效果.方法 採用方便取樣法,在囌州市某醫院選取132例住院治療的PCI術後患者,按隨機數字錶法隨機分為榦預組68例和對照組64例,榦預組採用動機性訪談榦預,對照組採用常規健康指導.結果 齣院後1箇月榦預組患者運動改變階段中前意嚮、意嚮、準備、行動、維持的例數分彆為0,1,0,56,11例,對照組分彆為0,10,7,35,12例,兩組差異有統計學意義(Z=-2.23,P＜0.05)；齣院後3箇月榦預組患者運動改變階段中前意嚮、意嚮、準備、行動、維持的例數分彆為0,1,0,56,11例,對照組分彆為13,12,2,25,12例,兩組差異有統計學意義(Z=-3.62,P＜0.01)；齣院後6箇月榦預組患者運動改變階段中前意嚮、意嚮、準備、行動、維持的例數分彆為0,0,0,3,65例,對照組分彆為20,8,1,1,34例,兩組差異有統計學意義(Z=-5.70,P＜0.01).齣院後1,3,6箇月榦預組患者運動頻率均≥5次/週,運動頻率與對照組比較,差異有統計學意義(x2值分彆為-4.22,-6.10,-7.12;P ＜0.01)；運動持續時間差異有統計學意義(x2值分彆為-4.96,-5.93,-7.24;P ＜0.01).結論 動機性訪談榦預可幫助PCI術後患者增彊運動意願及提高運動依從性.
목적 탐토운용동궤성방담대경피관상동맥개입(PCI)술후환자강복운동간예적효과.방법 채용방편취양법,재소주시모의원선취132례주원치료적PCI술후환자,안수궤수자표법수궤분위간예조68례화대조조64례,간예조채용동궤성방담간예,대조조채용상규건강지도.결과 출원후1개월간예조환자운동개변계단중전의향、의향、준비、행동、유지적례수분별위0,1,0,56,11례,대조조분별위0,10,7,35,12례,량조차이유통계학의의(Z=-2.23,P＜0.05)；출원후3개월간예조환자운동개변계단중전의향、의향、준비、행동、유지적례수분별위0,1,0,56,11례,대조조분별위13,12,2,25,12례,량조차이유통계학의의(Z=-3.62,P＜0.01)；출원후6개월간예조환자운동개변계단중전의향、의향、준비、행동、유지적례수분별위0,0,0,3,65례,대조조분별위20,8,1,1,34례,량조차이유통계학의의(Z=-5.70,P＜0.01).출원후1,3,6개월간예조환자운동빈솔균≥5차/주,운동빈솔여대조조비교,차이유통계학의의(x2치분별위-4.22,-6.10,-7.12;P ＜0.01)；운동지속시간차이유통계학의의(x2치분별위-4.96,-5.93,-7.24;P ＜0.01).결론 동궤성방담간예가방조PCI술후환자증강운동의원급제고운동의종성.
Objective To evaluate the effect of motivational interviewing(MI) on the rehabilitative exercise for patients after percutaneous coronary intervention (PCI).Methods 132 patients after percutaneous coronary intervention were chosen by the method of convenience sampling from a hospital in Suzhou,and were randomly divided into two groups.The experimental group (n =68) received MI based intervention while the control group (n =64) received routine health education.Results One month after discharge,there were 0,1,0,56 and 11 cases of patients in the experimental group and 0,10,7,35 and 12 cases in the control group who were respectively in the pre-contemplation stage,contemplation stage,preparation stage,action stage and maintenance stage of physical exercise,and the difference was statistically significant (Z =-2.23,P ＜ 0.05).Three months after discharge,there were 0,1,0,56 and 11 cases of patients in the experimental group and 13,12,2,25 and 12 cases in the control group who were respectively in the pre-contemplation stage,contemplation stage,preparation stage,action stage and maintenance stage of physical exercise,and the difference was statistically significant (Z =-3.62,P ＜0.05).Six months after discharge,there were 0,0,0,3 and 65 cases of patients in the experimental group and 20,8,1,1 and 34 cases in the control group who were respectively in the pre-contemplation stage,contemplation stage,preparation stage,action stage and maintenance stage of physical exercise,and the difference was statistically significant (Z =-5.70,P ＜ 0.05).Patients' exercising frequency were all no less than 5 times per week one month,three months and six months after discharge in the experimental group,and were significantly different from those in the control group (x2 =-4.22,-6.10,-7.12,respectively;P ＜0.01).There was also significant difference of duration of physical exercises between two groups (x2 =-4.96,-5.93,-7.24,respectively; P ＜ 0.01).Conclusions Motivational interview can effectively promote patients' willingness to enhance physical exercise and improve their exercise compliance after percutaneous coronary intervention.
