Motivational interview combined with transtheoretical model in self-care of patients with coronary heart disease

Abstract

Objective To explore the application effect of motivational interview combined with transtheoretical model in self-care of patients with coronary heart disease. Methods From August 2016 to April 2017, a total of 77 patients with coronary heart disease diagnosed in Wuxi Second Hospital Affiliated to Nanjing Medical University were selected by convenience sampling method, and randomly divided into control group (n=38) and observation group (n=39) by random number table. The two groups were given traditional health education and motivational interview combined with transtheoretical model health education. The self-efficacy, self-management ability, ejection fraction and regional wall motion abnormality (RWMA) were compared between the two groups before and after intervention. Results The scores of self-efficacy and self-management ability of patients with coronary heart disease in the observation group were (39.12±5.98) and (88.88±5.01) respectively, which were significantly higher than those in the control group (31.04±6.59) and (81.00±4.25) . The differences were statistically significant (P<0.01) . The ejection fraction of the observation group was higher than that of the control group, and the number of RWMA cases in the control group was higher than that in the observation group. The difference was statistically significant (P<0.05) . Conclusions Using motivated interviews combined with cross-theoretical models in self-care of patients with coronary heart disease can effectively improve patients' self-efficacy and self-management ability, it is worthy of clinical promotion. Key words: Nursing care; Coronary heart disease; Motivational interview; Transtheoretical model; Self-care