CAJ | 학술논문

目的：探讨动机性访谈对高血压患者行为改变的影响。方法采用随机对照研究方法，将符合纳入标准的95例原发性高血压患者随机分为干预组（47例）和对照组（48例），干预组采用制订的动机性访谈干预，对照组采用常规健康教育方法。比较两组之间行为改变阶段、行为依从性及血压的差别。结果干预后12个月干预组行为改变阶段明显优于对照组，两组比较差异有统计学意义（ Z＝－3．475， P＝0．001）；干预组行为改变阶段明显高于干预前（Z＝－3．477，P＝0．001），对照组干预前后差异无统计学意义（ Z＝－1．418，P＝0．156）。干预组行为依从性明显优于对照组，两组比较差异有统计学意义（ P＜0．05）。干预组收缩压和舒张压下降均较对照组明显，两组比较差异有统计学意义（P＜0．01）。结论动机性访谈可增强高血压患者行为改变的动机，提高高血压患者行为改变的依从性，从而使患者血压降低，预防和减缓高血压并发症的发生。
목적：탐토동궤성방담대고혈압환자행위개변적영향。방법채용수궤대조연구방법，장부합납입표준적95례원발성고혈압환자수궤분위간예조（47례）화대조조（48례），간예조채용제정적동궤성방담간예，대조조채용상규건강교육방법。비교량조지간행위개변계단、행위의종성급혈압적차별。결과간예후12개월간예조행위개변계단명현우우대조조，량조비교차이유통계학의의（ Z＝－3．475， P＝0．001）；간예조행위개변계단명현고우간예전（Z＝－3．477，P＝0．001），대조조간예전후차이무통계학의의（ Z＝－1．418，P＝0．156）。간예조행위의종성명현우우대조조，량조비교차이유통계학의의（ P＜0．05）。간예조수축압화서장압하강균교대조조명현，량조비교차이유통계학의의（P＜0．01）。결론동궤성방담가증강고혈압환자행위개변적동궤，제고고혈압환자행위개변적의종성，종이사환자혈압강저，예방화감완고혈압병발증적발생。
Objective To discuss the effect of motivational interviewing on the behavior change of hypertensive patients.Methods 95 essential hypertension were randomly divided into intervention and control groups, 47 cases in intervention group, 48 cases in control group.The patients in the control group received routine health education, while the patients in the intervention group receiving motivational interviewing intervention.The patients'behavior change stages, behavior of compliance and blood pressure were compared after the intervention.Results There was significant difference in behavior change stages between the two groups at twelve months after the intervention (Z=-3.475, P=0.001).The behavior change stages of intervention group after intervention was obviously better than that before intervention(Z=-3.477, P=0.001),while which was not statistically significant in control group(Z=-1.418,P=0.156).The compliance of intervention group after intervention was obviously better than that of control group(P<0.01).SBP and DBP of intervention group were significantly different form control groups (P<0.01).Conclusions Motivational interviewing plays an important part in enhancing the motivation of behavior changes of hypertension, improving their compliance of behavior change, lowering their blood pressure, preventing and retarding hypertension complications.