摘要
目的:分析脑健康教育结合动机访谈干预对有痴呆风险的社区居民痴呆防控知识、信念和生活方式的影响,为社区开展痴呆一级预防工作提供实践依据。方法:采用方便取样法,选取2021年3月至2022年2月在重庆市某社区卫生服务中心参加免费体检并建立健康管理档案的83名有痴呆风险的居民为研究对象,通过随机数字表法分为干预组(42名)和对照组(41名)。对照组接受社区常规服务,干预组在其基础上接受脑健康教育结合动机访谈干预,干预时间为3个月。分别于干预组接受干预前(T0)、干预结束1周内(T1)、干预结束3个月后(T2)测量两组研究对象的痴呆防控知识、痴呆预防信念、脑健康相关生活方式得分,BMI和腰臀比。结果:干预组在T1、T2的痴呆防控知识、痴呆预防信念及生活方式水平均显著高于对照组,差异均有统计学意义(均P<0.05),两组在T1、T2的BMI和腰臀比差异均无统计学意义(均P>0.05)。结论:脑健康教育结合动机访谈干预可有效提升有痴呆风险社区居民的痴呆防控知识水平,促进降低痴呆风险的积极信念形成,并可改善其生活方式。
Objective:To analyze the effect of brain health education combined with motivational interviewing on dementia knowledge,belief and lifestyle of community residents at risk of dementia,and to provide practical basis for the primary prevention of dementia in community.Methods:From March 2021 to February 2022,a total of 83 residents at risk of dementia who participated in free physical examination and established health management records in a community health service center in Chongqing were selected as research objects by convenient sampling method.They were divided into intervention group(n=42)and control group(n=41)by random number table method.The control group received community routine services,and the intervention group received brain health education combined with motivational interviewing intervention on the basis of the control group,the intervention time was 3 months.Knowledge,belief and lifestyle level of dementia prevention,body mass index and waist-to-hip ratio were measured at T0(before the intervention group received the intervention),T1(within one week after the intervention)and T2(3 months after the intervention),respectively.Results:After intervention,the levels of knowledge,belief and lifestyle of dementia prevention at T1 and T2 in the intervention group were significantly higher than those in the control group,with statistical significance(all P<0.05),while there were no significant differences in body mass index and waist-to-hip ratio between the two groups at T1 and T2(all P>0.05).Conclusion:The brain health education combined with motivational interviewing intervention developed in this study can effectively improve the knowledge,belief and lifestyle of community residents at risk of dementia.
作者
彭滟
杨燕妮
刘晓
张巾英
邓梦惠
李媛媛
PENG Yan;YANG Yanni;LIU Xiao;ZHANG Jinying;DENG Menghui;LI Yuanyuan(Department of Foundational Nursing,School of Nursing,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《中国护理管理》
CSCD
2023年第9期1292-1298,共7页
Chinese Nursing Management
基金
2020国家社会科学基金项目(20BRK039)。
关键词
脑健康
痴呆风险
动机访谈
随机对照试验
brain health
dementia risk
motivational interviewing
randomized controlled trial
