基于CICARE沟通模式的动机性访谈在稳定期COPD患者健康教育的应用
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女,本科,主管护师

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国家自然科学基金(71503088)


Application of motivational interview based on CICARE communication model in health education for stable COPD patients
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    摘要:

    目的 提高稳定期慢性阻塞性肺疾病(COPD)患者运动锻炼行为。方法 选取126例经住院治疗后病情稳定的 COPD 患者, 采用随机数字表法分为观察组62例和对照组64例。观察组采用基于 CICARE沟通模式的动机性访谈进行运动锻炼的健康指 导,对照组采用常规健康教育。分别在出院后1个月、4个月、7个月评定患者运动锻炼依从行为、生活质量改变情况及焦虑抑郁 程度。结果 两组运动锻炼依从行为随时间的变化幅度不同,观察组的依从性、慢阻肺评估测试及焦虑抑郁自评结果行为改变显 著优于对照组(P<0.05,P<0.01)。结论 基于 CICARE沟通的动机性访谈有利于提高稳定期 COPD 患者的运动锻炼依从性, 改善其生活质量及焦虑抑郁情绪。

    Abstract:

    Objective To improve physical exercise behavior for stable Chronic Obstructive Pulmonary Disease (COPD) patients. Methods Totally 126 COPD patients in stable phrase after treatment in hospital were divided into an intervention group (n=62) and a control group (n=64) using random number table. Motivational interview based on CICARE communication model was utilized in physical exercise health guidance for patients in the intervention group, while conventional health education was used for the control group. The compliance behavior on physical exercise, changes in quality of life and severity of anxiety and depression of the two groups at 1, 4 and 7 months after discharge were assessed. Results The compliance behavior on physical exercise changed in different degrees over time between the two groups, and the compliance, COPD evaluation test and the result of self-reported anxiety and depression of the intervention group were significantly better than those of the control group (P<0.05,P<0.01). Conclusion The motivational interview based on CICARE communication is conducive to enhancing compliance of physical exercise for stable COPD patients, and improving their quality of life and emotion of anxiety and depression.

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向邱,李小攀,崔金锐,沈美芳,徐素琴.基于CICARE沟通模式的动机性访谈在稳定期COPD患者健康教育的应用[J].护理学杂志,2019,34(16):87-90

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  • 收稿日期:2019-03-19
  • 最后修改日期:2019-04-22
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  • 在线发布日期: 2022-08-08