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动机性访谈护理干预对膀胱全切尿流改道腹壁造口患者自我护理能力、治疗依从性及生活质量的影响
作者姓名:余薇薇  王迎春  强芳芳
作者单位:陕西省宝鸡市中心医院
基金项目:宝鸡市卫生和计划生育局科研课题(No.2018-04)。
摘    要:目的 探讨动机性访谈护理干预对膀胱全切尿流改道腹壁造口患者自我护理能力、治疗依从性及生活质量的影响.方法 选取2017年2月至2018年8月我院收治的92例膀胱全切尿流改道腹壁造口患者作为研究对象,随机将其分为对照组和观察组,各46例.对照组给予常规护理干预,观察组在对照组基础上给予动机性访谈护理干预.比较两组的干预效...

关 键 词:动机性访谈  膀胱全切  尿流改道  腹壁造口  自我护理能力  生活质量

Effects of motivational interviewing nursing intervention on self-care ability,treatment compliance and quality of life of patients with total cystectomy urinary diversion and abdominal stoma
Authors:YU Weiwei  WANG Yingchun  QIANG Fangfang
Institution:(Baoji Central Hospital of Shaanxi Province,Baoji 721000,China)
Abstract:Objective To explore the effects of motivational interviewing nursing intervention on self-care ability,treatment compliance and quality of life of patients with total cystectomy urinary diversion and abdominal stoma.Methods From February 2017 to August 2018,92 patients with total cystectomy urinary diversion and abdominal stoma admitted in our hospital were selected as the research objects.The patients were randomly divided into control group and observation group,with 46 cases in each group.The control group was given routine nursing intervention,and the observation group was given motivational interviewing nursing intervention on the basis of the control group.The intervention effects of the two groups were compared.Results One month after intervention,the health knowledge,self-care skill,self-concept,self-care responsibility scores and total score in the observation group were higher than those in the control group(P<0.05).One month after intervention,the treatment compliance rate in the observation group was 100.00%,which was higher than 86.13%in the control group(P<0.05).One month after intervention,the physical function,social function,psychological function and material life state scores in the observation group were higher than those in the control group(P<0.05).One month after intervention,the total incidence of complications in the observation group was 2.17%,which was lower than 17.39%in the control group(P<0.05).Conclusion Motivational interviewing nursing intervention can improve the self-care ability,treatment compliance and quality of life of patients with total cystectomy urinary diversion and abdominal stoma,and reduce the incidence of complications.
Keywords:motivational interviewing  total cystectomy  urinary diversion  abdominal stoma  self-care ability  quality of life
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