摘要目的 探讨基于跨理论模型的动机性访谈健康教育对住院脑梗死患者健康饮食认知及行为改变阶段的干预效果.方法 便利选取住院脑梗死的患者60例,按照患者纳入顺序随机分为干预组和对照组各30例.其中对干预组患者采用基于跨理论模型的动机性访谈健康教育,主要针对健康饮食;对照组接受常规健康饮食教育.比较2组的干预效果.结果 干预前2组基线资料比较差异无统计学意义,干预后2组患者的知识和态度改变较自身干预前有显著改善,但干预组的改善程度比对照组更明显;以行为改变阶段为观察指标,比较干预组干预前后患者健康饮食行为阶段,干预前处于准备改变行为阶段仅有4例占13.3％,干预后处于准备改变行为阶段的上升到12例占40.0％,差异有统计学意义.结论 基于跨理论模型的动机性访谈技术是一种有效的认知、行为改变方法,动机性访谈健康教育是改善住院脑梗死患者的健康饮食认知及行为的有效措施.

abstractsObjective To investigate the intervention effect of motivational interviewing health education based on trans-theoretical model to hospitalized patients with cerebral infarction on their healthy diet cognition and behavior change.Methods 60 patients with cerebral infarction were selected with convenient sampling method,and in accordance with the incorporating order randomly divided them into the intervention group and the control group,each with 30 cases.The intervention group received the motivational interviewing health education based on the trans-theoretical model,which mainly focused on a healthy diet,while the control group received regular health diet education.The intervention effect was compared between two groups.Results The comparative difference of baseline data between the two groups before intervention had no statistical significance,while after intervention the change on knowledge and attitude of these two groups both had statistical significance,but the intervention group improved more obviously than the control group; In regards to behavior change phrase,comparing the healthy eating behavior phase of the intervention group patients before and after the intervention,it was found that before the intervention only 4 cases were on the stage of about-to-change,accounting for 13.3％,but after the intervention the proportion was up to 40.0％ with 12 cases.Using chi-square test to compare the behavior phrase difference of the patients before and after the intervention,the difference was statistically significant.Conclusions Motivational interviewing technique based on the trans-theoretical model is an effective method in terms of cognitive and behavioral change,and the health education will improve the cognition on healthy diet and the behavior of the hospitalized patients with cerebral infarction.