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目的:探讨跨理论模型和动机性访谈对慢性阻塞性肺气肿疾病的作用效果。方法:纳入广州市番禺区洛浦街社区卫生服务中心2015年1月至2015年6月确诊为慢性阻塞性肺气肿的患者100例,随机分为两组,对照组50例,采用常规的护理方法,观察组50例,实施跨理论模型和动机性访谈的干预模式。随访6个月,分析患者治疗后的生活质量和心理健康状况,根据患者世界卫生组织生存质量测定量表简表(WHOQOL-BREF)和症状自评量表(SCL-90)的调查情况。结果:采取跨理论模型和动机性访谈的干预模式的观察组生活质量优于对照组,两组间比较差异具有统计学(P<0.05);观察组的心理健康状况评分也优于对照组,两组比较差异具有统计学(P<0.05)。结论:跨理论模型和动机性访谈的护理干预方法能够有效地提高慢性阻塞性肺气肿患者的生活质量,改善患者的心理健康状况。
Objective: To investigate the effect of cross-theoretical model and motivational interview on chronic obstructive pulmonary disease. Methods: One hundred patients diagnosed as chronic obstructive pulmonary emphysema from January 2015 to June 2015 in Luopu Street Community Health Service Center, Panyu District, Guangzhou were randomly divided into two groups, control group, 50 cases, Nursing methods, observation group 50 cases, the implementation of inter-theoretical model and motivational interview intervention model. After 6 months of follow-up, the quality of life and mental health of the patients after treatment were analyzed. According to the WHOQOL-BREF and SCL-90 survey results. Results: The quality of life of the observation group adopting the inter-theoretical model and the motivational interviewed model was better than that of the control group, the difference between the two groups was statistically significant (P <0.05); the mental health score of the observation group was also better than that of the control group, The difference between the two groups was statistically significant (P <0.05). Conclusion: Inter-theoretical models and motivational interviews with nursing intervention methods can effectively improve the quality of life of patients with chronic obstructive pulmonary emphysema and improve the patient’s mental health status.