Abstract:

Objective To explore the effect of motivational interview intervention based on self-efficacy theory on caregivers of children with enterostomy.Methods According to literature research and previous studies,motivational interview program was formulated,which included designing motivational interview strategy,screening and training for interviewing nurses. Seventy-two caregivers of children with enterostomy were randomly divided into two groups by using digital random table method with 36 cases in the experimental group and 36 cases in the control group. Five motivational interviews were conducted in the experimental group on the basis of routine health education and follow-up during hospitalization and 1,2,3 months after discharge;while the control group only received routine health education and follow-up. Self-efficacy scores,anxiety levels and complications related to stoma were compared between two groups at 1,2,3 month after discharge.Results After 3 months of intervention,self-efficacy scores of caregivers in the experimental group were higher than the control group,and the anxiety level was lower than the control group（P<0.05）. The incidence of peristomal dermatitis in the experimental group was significantly lower than the control group（P<0.05）.Conclusion Motivational interview intervention can improve self-efficacy level of caregivers of children with enterostomy,reduce their anxiety level,and reduce the incidence of peristomal dermatitis in children with enterostomy.

Key words: Pediatric Nursing, Enterostomy, Caregivers, Motivational Interviews, Self-efficacy

摘要：

目的 探讨基于自我效能理论的动机性访谈在肠造口患儿照顾者中的应用效果。方法 在文献研究和前期研究基础上制订动机性访谈方案,拟订访谈策略,筛选和培训访谈护士;采用随机数字表法将72对肠造口患儿及其照顾者随机分为2组,每组各36对患儿及其照顾者,试验组在对照组干预措施的基础上于住院期间和出院后1、2、3个月分别实施5次动机性访谈,对照组实施常规健康宣教和随访。比较两组患儿照顾者出院后1、2、3个月自我效能得分、焦虑水平及患儿出院后3个月肠造口相关并发症的发生情况。结果 干预3个月后试验组患儿照顾者自我效能水平高于对照组,焦虑水平低于对照组,差异有统计学意义（P<0.05）;试验组患儿造口周围皮炎的发生率明显低于对照组,差异有统计学意义（P<0.05）。结论 动机性访谈能够提高肠造口患儿照顾者的自我效能水平,降低其焦虑水平,有助于降低肠造口患儿造口周围皮炎的发生率。

关键词: 儿科护理学, 肠造口术, 照顾者, 动机性访谈, 自我效能