摘要
目的:研究信息-动机-行为技巧(IBM)模型下动机性访谈对老年肺结核患者用药依从性和自我管理能力的影响。方法:将2020年9月—2023年5月我院接收的114例老年肺结核患者作为研究对象。根据上述患者接受的不同干预方案将其分为常规干预组(55例)和动机访谈组(59例),常规干预组患者接受常规干预组方案,动机访谈组患者接受IBM模型下动机性访谈干预方案,比较两组用药依从性、自我管理能力、心理状态[焦虑自评量表评分(SAS),抑郁自评量表评分(SDS)]及生活质量[简明健康调查问卷(SF-36)评分]。结果:干预后,动机访谈组Morisky药物依从性量表评分高于常规干预组(P<0.05);动机访谈组自我管理能力量表评分高于常规干预组(P<0.05);动机访谈组SAS、SDS评分均低于常规干预组(P<0.05);动机访谈组SF-36评分高于常规干预组(P<0.05)。结论:IBM模型下动机性访谈能够帮助老年肺结核患者改善心理状态,提高用药依从性、自我管理能力及日常生活质量。
Objective:To study the effect of motivational interview under the information-motivation-behavior skills(IBM)model on medication compliance and self-management ability in elderly pulmonary tuberculosis patients.Methods:A total of 114 elderly patients with pulmonary tuberculosis received in our hospital from September 2020 to May 2023 were taken as the research objects.According to the different nursing plans received by the above patients,they were divided into the routine nursing group(55 patients)and the motivational interview group(59 patients).The patients in the routine nursing group received the routine nursing plan,and the patients in the motivational interview group received the motivational interview nursing plan under the IBM model.The medication compliance,self-management ability,psychological status[self-rating anxiety scale score(SAS),self-rating depression scale score(SDS)]and quality of life[the MOS item short from health survey(SF-36)score]were compared between the two groups.Results:After intervention,the Morisky drug compliance scale score of the motivational interview group was higher than that of the routine nursing group(P<0.05).The score of self-management ability scale in the motivation interview group was higher than that in the routine nursing group(P<0.05).The SAS and SDS scores of the motivational interview group were lower than those of the routine nursing group(P<0.05).The SF-36 score of the motivational interview group was higher than that of the routine nursing group(P<0.05).Conclusion:Motivational interviewing under IBM model can help elderly patients with pulmonary tuberculosis improve their psychological state,medication compliance,self-management ability and quality of daily life.
作者
郭玲玲
李卫国
朱琼琼
徐彩红
GUO Lingling;LI Weiguo;ZHU Qiongqiong;XU Caihong(Fever Clinic,Zhumadian Central Hospital,Zhumadian 463003,Henan,China;Department of Cardiology,Zhumadian Central Hospital,Zhumadian 463003,Henan,China)
出处
《中国药物滥用防治杂志》
CAS
2023年第12期2122-2125,共4页
Chinese Journal of Drug Abuse Prevention and Treatment
基金
河南省医学科技攻关计划项目(编号:2018020669)。
关键词
IBM模型
动机性访谈
肺结核
用药依从性
自我管理能力
IBM model
Motivational interview
Tuberculosis
Medication compliance
Self-management ability
