目的：探讨动机性访谈（M I ）对高风险孕妇产前诊断依从性及负性情绪的影响。方法选取200例高风险孕妇，按随机数字表法分为观察组和对照组，各100例。对照组给予常规健康教育。观察组给予M I。比较两组孕妇产前诊断预约率、产前诊断实施率、抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分、护理工作满意度。结果观察组产前诊断预约率、实施率显著提高，与对照组比较有显著性差异（P＜0．05）。观察组SDS、SAS评分显著降低，与对照组比较有显著性差异（P＜0．05）。观察组护理满意度显著提高，与对照组比较有显著性差异（P＜0．05）。结论 M I可有效提高高风险孕妇产前诊断依从性，改善负性情绪，可应用于临床护理。%Objective To evaluate the effect of motivational interviewing on compliance and negative emotion in high risk pregnant women with prenatal diagnosis .Methods 200 cases of high risk pregnant women were randomly divided into ob‐servation group (n=100)and control group(n=100) .Motivational interviewing was used in observation group and routine health education was used in control group .The booking rate of prenatal diagnosis ,implementation rate of prenatal diagno‐sis ,self -rating depression scale (SDS) score ,self -rating anxiety scale (SAS) score and nursing satisfaction were com‐pared between the two groups .Results The booking rate of prenatal diagnosis in observation group were significant higher than control group ,the difference showed statistically significant (P<0 .05) .The implementation rate of prenatal diagnosis in observation group were significant higher than control group ,the difference showed statistically significant(P<0 .05) . The score of SDS and SAS in observation group were significantly lower ,compared with the control group .The differences were statistically significant (P<0 .05) .The nursing satisfaction of observation group were significantly increased ,com‐pared with the control group differences statistically significant(P<0 .05) .Conclusion Motivational interviewing can effec‐tively improve the compliance and negative emotion in high risk pregnant women with prenatal diagnosis .It is worthy of clin‐ical promotion .
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