Influence of targeted motivational interviewing on self-care level and prognosis during nursing care of chronic heart failure

摘要

Objective: To analyze the effects of targeted motivational interviewing (TMI) during the nursing care for chronic heart failure (CHF). Methods: A total of 93 patients with CHF admitted to our hospital were selected as study subjects, and were divided into Group A (n=47) and Group B (n=46) in accordance with a randomized double-blind method. Group A was treated with TMI, while Group B was treated with the conventional nursing care for heart failure (HF). The self-care levels (self-care of heart failure index), medication compliance (Morisky’s medication compliance scale), quality of life (Minnesota Living with Heart Failure Questionnaire), and prognosis (the readmission and mortality rates) were compared between the 2 groups. Results: After nursing care, patients in Group A were higher than those in Group B in their scores of self-care maintenance, management and confidence, medication frequency, time, dose, and type as instructed by the physician, and drug withdrawal or discontinuation of drugs, and forgetting medication, and body, emotion, and other fields (P < 0.05). Group A was superior to Group B in the rates of medication compliance and medication non-compliance (61.70% and 6.38% vs. 41.30% and 23.91%, P < 0.05); rate of hospital readmission (6.38% vs. 23.91%, P < 0.05), and mortality rate (0% vs. 6.52%, P > 0.05). Conclusion: TMI is conducive to improving the self-care level, medication compliance, quality of life, and prognosis in patients with CHF.