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[目的]探讨动机性访谈对类风湿关节炎(Rheumatoid arthritis,RA)患者功能锻炼效果的影响.[方法]选取2014年10月至2015年12月在本院接受治疗的RA患者148例,采取随机数表法分成对照组和干预组.对照组患者接受常规复诊指导、日常健康教育、出院康复训练指导和建立随访电子档案按计划随访;干预组在对照组的基础上增加动机性访谈,评估并比较出院时和出院6个月后两组患者的晨僵时间、疼痛评分、日常活动能力影响评分和患者依从性.[结果]两组患者出院时的晨僵时间、疼痛评分、日常活动能力影响评分及依从性评分比较无统计学意义(P＞0.05),出院6个月后干预组患者晨僵时间、疼痛评分、日常活动能力影响评分均明显低于对照组患者,依从性评分显著高于对照组,其差异有统计学意义(P＜0.05).[结论]动机性访谈对RA患者功能锻炼效果显著,具有重要的临床应用价值.“,”[Objective]To explore the effect of motivational interviewing on functional exercise in patients with rheumatoid arthritis.[Methods]A total of 148 cases in our hospital with rheumatoid arthritis (RA) were selected from October 2014 to December 2015,the patients were randomly divided into intervention group and control group by random number table.The control group received routine follow-up guidance,health education,rehabilitation training daily guidance and set up electronic records with follow-up according to plan;The intervention group added motivational interviewing on the basis of control group,In 6 months,the hospital discharge and morning stiffncss duration of the two groups of patients,pain score,ADL score and patient compliance were evaluated and compared.[Results] Morning stiffness duration,pain score,ADL score and the effect of compliance at discharge were not statistically significant (P ＞0.05).Six months after discharge,morning stiffness,pain score,ADL score of the patients in the intervention group were significantly lower than those of the control group,the compliance was significantly higher than that of the control group,the difference was statistically significant (P ＜0.05).[Conclusion]Motivational interviewing has significant effect on the functional exercise of patients with rheumatoid arthritis and has important clinical application value.