Abstract：【Objective】To explore the impact of motivational interviews based on trans-theoretical model on disease cognition and self-efficacy of asthma patients. 【Methods】A total of 194 patients with asthma in our hospital from August 2017 to March 2018 were selected and randomly divided into observation group and control group, with 97 cases in each group. The control group was given routine nursing and health education intervention, and the observation group was given motivational interview health education based on cross theoretical model. The cognitive level of disease, self-efficacy and quality of life were compared between the two groups. 【Results】Five patients in each group dropped out of the study, and 92 patients completed the study. After the intervention, the cognitive level score and high-level cognitive rate of the observation group were higher than those before the intervention of the same group, the cognitive level of the control group was higher than that of the same group before the intervention, and the cognitive level score and high-level cognitive rate of the observation group were higher than those of the control group, the difference was statistically significant (P<0.05). The scores of self-management, general self-efficacy, achievement of results and coping problems in the two groups were higher than those before intervention in the same group, and those in the observation group were higher than those in the control group (P<0.05). The scores of activity limitation of the two groups were significantly higher than those of the same group before intervention. The activity limitation, asthma symptoms, psychological status and care for their own health of the observation group were significantly higher than those of the control group, and the difference was statistically significant (P<0.05). 【Conclusion】Motivational interviewing based on trans-theoretical model can improve the cognitive level of asthma patients, promote the development of self-efficacy and improve the quality of life of patients.
杜娟, 任徽,邱丽, 吴蓉, 易静叶. 基于跨理论模型的动机性访谈对对哮喘患者疾病认知及自我效能的影响[J]. 医学临床研究, 2020, 37(12): 1786-1788.
DU Juan, REN Hui, QIU Li, et al. Impact of Motivational Interviews Based on Trans-theoretical Model on Disease Cognition and Self-efficacy of Asthma Patients. JOURNAL OF CLINICAL RESEARCH, 2020, 37(12): 1786-1788.
[1] 林江涛,唐华平.我国城区支气管哮喘急性发作住院患者治疗情况的调查分析[J].中华医学杂志,2018,98(8):622-626. [2] Cloutier MM, Salo PM, Akinbami LJ, et al. Clinician agreement, self-efficacy, and adherence with the guidelines for the diagnosis and management of asthma[J].J Allergy Clin Immunol Pract,2018, 6(3): 886-894. [3] Malekshahi F.The determination of predictive construct of physical behavior change on osteoporosis prevention women aged 30-50: a trans-theoretical method study[J].Golb J Health Sci,2015, 8(3): 183-192. [4] Hoy J, Natarajan A, Petra MM. Motivational interviewing and the transtheoretical model of change: under-explored resources for suicide intervention[J].Community Ment Health J,2016, 52(5): 559-567. [5] 中华医学会呼吸病学分会哮喘学组.中华医学会全科医学分会.中国支气管哮喘防治指南(基层版)[J].中华结核和呼吸杂志,2013,36(5):331-336. [6] Allen RM, Jones MP. The validity and reliability of an asthma knowledge questionnaire used in the evaluation of a group asthma education self-management program for adults with asthma[J].J Asthma,1998, 35(7): 537-545. [7] Lorig K, Stewart A, Ritter P, et al. Outcome measures for health education and other health care interventions[M]. Thousand Oaks CA:Sage Publicatons,1996:24-25. [8] 李凡,蔡映云.支气管哮喘生活质量评估表的制定、评估和临床应用[J].现代康复,2001,5(2):18-19. [9] Parzandipour M, Nabovati E, Sharif R, et al. Patient self-management of asthma using mobile health applications: a systematic review of the functionalities and effects[J].Appl Clin Inform,2017, 8(4): 1068-1081. [10] Ejebe IH, Jacobs EA, Wisk LE. Persistent differences in asthma self-efficacy by race, ethnicity, and income in adults with asthma [J].J Asthma,2015, 52(1): 105-113. [11] 颜萍平,汤观秀,高飞,等.基于跨理论模型的动机性访谈对老年2型糖尿病患者血糖及自我管理行为的影响[J].中国全科医学,2016,19(15):1763-1767.
2020, Vol. 37 
