在接受心脏康复的患者中通过电话进行激励面试干预:中国的一项随机对照试验
Yu Wang1,2, Chintana Wacharasin1, Khemaradee Masingboon1
1Faculty of Nursing, Burapha University, Chonburi, Thailand.
Belitung nursing journal
|January 26, 2026
概括
这项研究发现,基于电话的激励面试干预显著增加了心脏康复患者的身体活动和动机. 这种混合方法提供了一个可扩展的模型,用于改善患者护理中对炼的坚持.
科学领域:
- 心脏病学 心脏病学
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 保持体力活动 (PA) 对心脏康复 (CR) 患者至关重要,以防止不良结果.
- 对PA的低坚持可以导致疾病复发.
- 激励面试 (MI) 可以克服心理障碍,增强PA的内在动机.
研究的目的:
- 评估一项混合干预措施,将基于电话的MI与CR患者的移动管理相结合.
- 评估对患者动机和身体活动水平的影响.
主要方法:
- 一项试点随机对照试验,在中国对52名CR患者进行.
- 干预组接受了通常的护理加上为期4周的电话MI计划 (面对面,每周电话MI,微信支持).
- 对照组接受了通常的CR指导. 测量了PA (步骤/天) 和动机 (BREQ-2).
主要成果:
- 干预组在每日步骤 (3582到9444步/天) 和自主动机 (BREQ-2 RAI) 中显示出显著的改善.
- 对于每天的两个步骤 (p <0.001,np2 = 0.706) 和 BREQ-2 (RAI) (p <0.001,np2 = 0.349) 观察到显著的相互作用效应 (组*时间).
结论:
- 基于电话的MI有效地增加了CR患者的PA和自主动机.
- 这种混合型,技术支持的模型可用于常规CR的可扩展性,特别是在资源有限的环境中.
- 强调MI技能的重要性以及在家庭心脏护理中对护理实践的持续支持.
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