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目的探讨动机性访谈对甲状腺功能亢进患者自我管理的影响。方法选取2014年1月——2015年1月期间来本院外科就诊的120例甲状腺功能亢进患者作为研究对象,按照随机方法分成对照组和干预组各60例,对照组患者采用常规健康教育方式,干预组实施动机性访谈干预,用自行设计问卷就甲状腺功能亢进相关知识和自我管理行为等方面对两组患者进行比较。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果干预后3个月及6个月:两组患者饮酒、吸烟人数比较,对照组分别为19例、7例和18例、5例,干预组分别为12例、2例和10例、3例,干预组人数少于对照组;两组患者自我效能得分比较,对照组分别为(63.73±3.17)、(75.32±2.58)分;干预组分别为(76.27±3.59)、(89.32±3.26)分,对比差异均有统计学意义﹙均P<0.05﹚;两组患者行为依从性得分比较,对照组(23.03±0.17)、(32.45±1.21)分,干预组分别为(29.31±1.25)、(36.49±1.15)分,对比差异均有统计学意义﹙均P<0.05﹚。结论动机性访谈护理干预能明显提高甲状腺功能亢进患者的自我管理能力,减少由甲状腺功能亢进引起的并发症发生,降低医疗费用。
Objective To investigate the impact of motivational interviews on self-management in patients with hyperthyroidism. Methods A total of 120 cases of hyperthyroidism from January 2014 to January 2015 in our hospital were selected as study subjects and randomly divided into control group and intervention group of 60 cases. Control group patients received routine health education , The intervention group conducted a motivational interview with self-designed questionnaire for hyperthyroidism-related knowledge and self-management behavior and other aspects of the two groups of patients were compared. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results Three months and six months after intervention, alcohol consumption and smoking in two groups were compared in 19 cases, 7 cases and 18 cases, 5 cases in intervention group, 12 cases in intervention group, 2 cases and 10 cases in 3 cases For example, the number of intervention group was less than that of the control group. The self-efficacy scores of the two groups were (63.73 ± 3.17) and (75.32 ± 2.58) points respectively, while the intervention group were (76.27 ± 3.59) and (89.32 ± 3.26) (23.03 ± 0.17), (32.45 ± 1.21) points in the control group and (29.31 ± 1.25) in the intervention group, respectively (all P <0.05). There was significant difference between the two groups in behavioral compliance scores (36.49 ± 1.15) points, the difference was statistically significant (P <0.05). Conclusions Motivational interview nursing intervention can significantly improve the self-management ability of patients with hyperthyroidism, reduce the incidence of complications caused by hyperthyroidism, and reduce medical costs.