跨理论模型及动机性访谈对PCI术后患者服药依从性的影响

摘要

Objective To evaluate the effects of transtheoretical model and motivational interviewing on medication?compliance in patients with percutaneous coronary intervention (PCI) post-operation. Methods One hundred patients with PCI post-operation were randomized into the observation group (n = 50) and the control group (n = 50). The medication compliance, 6-min walk test and major adverse cardiovascular events (MACE) were compared between two groups. Results At 1 month, 3 months and 6 months post-intervention, the medication compliance in the observation group was significantly increased (P < 0.05, respectively). The 6-min walk test in the observation group was significantly increased compared with the control group. The MACE rate in the observation group and the control group was 10.0% and 36.0%, respectively, with significant difference (P< 0.05). Conclusion The transtheoretical model and motivational interviewing can effectively increase the medication compliance, improve the postoperative rehabilitation, and decrease the MACE rate.%目的:探讨跨理论模型和动机性访谈对经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者服药依从性的影响.方法:选取100例PCI术后患者分为观察组(n=50)和对照组(n=50)两组.对照组给予常规护理干预,观察组给予跨理论模型和动机性访谈.比较两组服药依从性、6 min步行距离、主要心脏不良事件(major adverse cardiovascular events,MACE)发生率.结果:干预后1、3个月及6个月,观察组服药依从性分级均显著提高,与对照组比较差异具有统计学意义(P<0.05).观察组6 min步行距离显著提高,与对照组比较差异具有统计学意义(P<0.05).观察组MACE发生率明显低于对照组(10.0%vs 36.0%),两组比较差异具有统计学意义(P<0.05).结论:跨理论模型和动机性访谈可有效提高PCI术后患者服药依从性,促进术后康复,降低MACE发生率,值得临床推广使用.