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目的 探讨动机性访谈在乳腺癌术后患者功能锻炼中的应用效果.方法 选取2016年3月至2017年10月乳腺外科收治的128例乳腺癌术后患者,按动机性访谈实施前后分为对照组和观察组,对照组按常规进行功能锻炼指导,观察组在对照组基础上给予动机性访谈.干预前、出院当天、出院后3个月时评估2组患者的自我效能感、功能锻炼依从性,出院后3个月评估2组患者的肩关节活动度.结果 重复测量的方差分析显示,对照组与观察组自我管理效能感得分对比差异有统计学意义(F干预=5.608,P=0.020);对照组与观察组功能锻炼依从性得分对比差异有统计学意义(F 干预=6.776,P=0.010);出院后3个月时观察组患者肩关节活动度优于对照组(U=2.128,P=0.033).结论 动机性访谈可以提高乳腺癌术后患者的自我效能感和功能锻炼依从性,促进肩关节活动功能的恢复.

Objective To investigate the effect of motivational interviewing on functional exercise in postoperative breast cancer patients. Methods A total of 128 postoperative breast cancer patients admitted to our hospital from March 2016 to October 2017 were selected and divided into control group and observation group before and after motivational interviewing. The control group was given routine functional exercises guidance, while the observation group was given motivational interviewing on the basis of the control group. The self-efficacy and functional exercise compliance of the two groups were evaluated before intervention, on the day of discharge, and 3 months after discharge. The shoulder joint mobility of the two groups was evaluated 3 months after discharge. Results Repeated measures analysis of variance showed that there were statistically significant difference between the control group and the observation group in C-SUPPH (Fintervention=5.608, P=0.020) and Postoperative Functional Exercise Compliance Scale for Breast Cancer(Fintervention=6.776, P=0.010); The shoulder joint mobility of the observation group was superior to the control group at 3 months after discharge (U=2.128, P=0.033). Conclusion Motivational interviewing can improve self-efficacy and functional exercise compliance of postoperative breast cancer patients, and promote the recovery of shoulder joint activity function.