Application of motivational interview combined with transtheoretical model in pulmonary rehabilitation exercise for elderly patients with chronic obstructive pulmonary disease
10.3760/cma.j.issn.1674-2907.2019.32.013
- VernacularTitle:动机性访谈联合跨理论模型在老年COPD患者肺康复训练中的应用
- Author:
Wenyao XU
1
;
Shunyu LI
Author Information
1. 哈尔滨医科大学附属第二医院全科医疗科,哈尔滨 150086
- Keywords:
Lung diseases,chronic obstructive;
? Transtheoretical model;
? Motivational interview;
Pulmonary rehabilitation
- From:
Chinese Journal of Modern Nursing
2019;25(32):4190-4193
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the application of motivational interview(s MI) and transtheoretical models(TTM) in pulmonary rehabilitation exercise for elderly patients with chronic obstructive pulmonary disease(COPD), and to provide evidence for clinical intervention. Methods? From January to December of 2018, 120 COPD patients hospitalized in Department of Geriatrics, the Second Affiliated Hospital of Harbin Medical University, were selected as research objects and grouped based on their admission time. Totally 60 patients admitted from January to June 2018 were taken as the control group and 60 patients admitted from July to December of 2018 were taken as the observation group. The patients in the observation group were intervened by MI and TTM model. The intervention effect was evaluated by COPD Self-management Scale and Chronic Disease Management Self-efficacy Scale. Results? Finally, 47 patients in the control group and 54 patients in the observation group completed the study. After intervention, the scores of self-management level, self-efficacy, symptom management and daily life management in the observation group were statistically higher than those in the control group (P＜0.05); there was no statistically significant difference in the scores of emotion management and information management dimensions in the two groups (P＞ 0.05). After intervention, the scores of 2 dimensions in self-efficacy in the observation group were statistically higher than those in the control group (P＜0.05). Conclusions? MI combined with TTM can improve the self-management behavior and self- efficacy of elderly COPD patients.
