动机性访谈对脑卒中患者负性情绪及依从性的影响

目的探讨动机性访谈对脑卒中患者负性情绪的影响，以提高患者的遵医行为和自我效能，促进患者尽早康复。方法选取2013年1~12月住院的脑卒中患者78例，按住院先后顺序随机分为对照组和实验组各39例。对照组给予常规护理，实验组在对照组的基础上给予动机性访谈。2组患者在教育前、教育后分别给予焦虑自评量表﹙SAS﹚、抑郁自评量表﹙SDS﹚、一般自我效能感量表(GSES)、自制遵医行为量表评分。结果教育前2组SAS、SDS、GSES、自制遵医行为量表评分无统计学意义(P>0.05)。教育8周后2组SAS、SDS各因子分与教育前比较均降低，实验组比对照组降低明显(P<0.05);2组GSES评分和遵医行为较教育前提高，实验组提高的更明显(P<0.05)。结论动机性访谈能改善脑卒中患者负性情绪，提高患者遵医行为和自我效能，促进康复。

Influence of motivated interview on negative emotions and compliance of stroke patients

Objective To study the influence of motivated interview on negative emotions ,to improve patients′ compliant behaviors and self-efficiency .Methods Seventy-eight patients in our hospital from January 2013 to December 2013 ,were divided into experimental group （n=39） and control group （n=39） according to the sequence of admission .The control group was given common nursing ,and the experimental group was given motivated interview at the base of the control group . The self-evaluation of anxiety scale （SAS） ,depression self rating scale （SDS） ,general self-efficacy scale （GSES） ,self-made compliance behavior scale were used in the study .Results There were no statistical significance between the scores of two groups before education （P〉 0 .05） .Each factor points of SAS ,SDS decreased after 8 weeks′education ,and which in the experimental group reduced more significantly（P〈 0 .05） .The scores of GSES and compliant behaviors both improved in 2 groups ,and which in the experimental group improved more significantly （P〈 0 .05） .Conclusion Motivated interviews can reduce stroke patients′negative emotions ,improve the compliant behaviors and self-efficacy ,promote rehabilitation .