关键词: 血液透析, 动机性访谈, 自我管理, 生活质量

Abstract: 【Abstract】Objective To investigate the impact of motivational interview on self-management ability and quality of life in maintenance hemodialysis (MHD) patients. Methods A total of 100 MHD patients were recruited in a top-level hospital in Hangzhou city. According to the duration of hemodialysis, the patients were divided into the intervention group (n=50) and the control group (n=50). The control group adopted the traditional health education method, and the intervention group received the motivational interview. Self-management scale and kidney disease specific questionnaire were used to evaluate their self-management ability and quality of life before intervention and after the intervention for 6 months. Results In the scores of selfmanagement ability, partnership, problem solving, emotional processing, self-care and total score were statistically higher in the intervention group than in the control group (t=20.131, 13.645, 12.213, 15.012 and 17.043 respectively; P=0.021,0.012, 0.023, 0.001 and 0.004 respectively). In the scores of quality of life, somatic symptoms, fatigue, relationship with others and total score were statistically higher in the intervention group than in the control group (t=10.586, 3.560, 3.959 and 4.574 respectively; P=0.001, 0.001, 0.001 and 0.001 respectively). Conclusion Motivational interview can improve the self- management ability and quality of life in MHD patients.

Key words: Hemodialysis, Motivational interview, Self-management, Quality of life