动机性访谈干预对老年高血压患者运动改变阶段的影响

目的探讨运用动机性访谈对社区老年高血压患者运动改变阶段干预的效果,为社区高血压患者运动干预和管理提供依据。方法采用随机对照研究的方法,在广州市海珠区某社区随机抽取100例老年高血压患者为研究对象,随机分为干预组和对照组,干预组采用已制订的动机性访谈干预;对照组采用常规社区健康教育方法。干预前及干预后3个月、6个月分别评估两组患者血压、运动阶段、生活质量。结果干预前比较两组的年龄、性别等社会人口学资料结果显示差异无统计学意义(P>0.05),干预后3个月、6个月两组患者血压、运动改变阶段、生活质量各指标差异均具有统计学意义(P<0.05)。结论动机性访谈干预可提高高血压患者运动依从性及生活质量,使患者的血压降低。

Impact of motivational interviewing on the behavior change stages in elderly patients with hypertension

Objective To evaluate the effect of motivational interviewing on the behavior change stages of the Transtheoretical Model in community elderly patients with hypertension,and to provide basis of interventions for community hypertension patients.Methods One hundred elderly patients with hypertension were recruited from a community in Zhuhai city and were randomly divided into two groups.The patients in the control group received routine community health education,while the patients in the experimental group receiving motivational interviewing intervention.The patients’ blood pressure,behavior chenge stages and quality of life were measured before the intervention,three months and six months after the intervention.Results There were significant differences in the blood pressure,exercise stage and quality of life between the two groups at three months and six months after the intervention(P<0.05).Conclusion Motivational interviewing can effectively improve the exercise compliance,quality of life and reduce blood pressure in patients with hypertension.