Effects of COM-B model-based motivation interview combined with transitional care in stroke patients
10.3760/cma.j.cn115682-20250312-01210
- VernacularTitle:基于COM-B模型的动机访谈联合过渡期护理在脑卒中患者中的应用
- Author:
Yumeng ZHANG
1
;
Xiaochuan HUO
1
;
Wei WANG
1
;
Shasha HOU
1
;
Man GAO
1
Author Information
1. 首都医科大学附属北京安贞医院神经疾病中心，北京 101118
- Publication Type:Journal Article
- Keywords:
Stroke;
COM-B model;
Transitional care;
Self-management ability;
Health behavior;
Social support
- From:
Chinese Journal of Modern Nursing
2025;31(33):4566-4571
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of capacity, opportunity, motivation-behavior (COM-B) model-based motivation interview combined with transitional care on self-management ability, health behavior, and social support in stroke patients.Methods:From June 2021 to June 2024, 104 stroke patients admitted to Beijing Anzhen Hospital, Capital Medical University, were selected as study subjects using convenience sampling. Patients were randomly assigned to either the control group or the intervention group, with 52 patients in each group. Control group received routine care, while intervention group received COM-B model based motivation interview combined with transitional care in addition to routine care. Scores of the Exercise of Self-Care Agency Scale (ESCA) , Health Behavior Scale for Stroke Patients (HBS-SP) , 11-item Duke Social Support Index (DUKE-UNK11) , Readiness for Hospital Discharge Scale (RHDs) , and Stroke Specific Quality of Life Scale (SS-QOL) were compared between two groups of patients before and after intervention.Results:After intervention, the ESCA, HBS-SP, DUKE-UNK11, RHDs, and SS-QOL scores of intervention group were higher than those of control group, and the differences were statistically significant ( P<0.05) . Conclusions:COM-B model-based motivation interview combined with transitional care can improve the self-management ability of stroke patients, promote the formation of healthy behaviors, and enhance patients' perception of social support, which is worthy of clinical promotion and application.
