应用AIDET优化型沟通结合动机访谈式健康教育对治疗老年女性尖锐湿疣的临床分析

Clinical analysis of AIDET optimized communication combined with motivational interview health education in the treatment of condyloma acuminatum in elderly women

中文关键词: 老年  尖锐湿疣  AIDET沟通  动机访谈式健康教育  心理痛苦  疾病不确定感  依从性  生活质量

英文关键词: elderly  condyloma acuminatum  AIDET communication  motivational interview health education  psycho-logical distress  disease uncertainty  compliance  quality of life

中文摘要:

      目的 探究AIDET沟通结合动机访谈式健康教育对老年女性尖锐湿疣患者的影响,为治疗该病症提供方法.方法 招募2018 年3 月—2023 年3 月于空军军医大学第一附属医院收治的老年女性尖锐湿疣患者 154 例,按随机数表法分为观察组和对照组,每组77 例.在2 组均接受二氧化碳激光联合干扰素治疗的同时,对照组接受常规健康教育干预,观察组接受AIDET沟通结合动机访谈式健康教育干预.2 组干预时长均为1 个月.比较2 组干预前、干预 1 个月时的心理痛苦(采用心理痛苦筛查工具评估)、疾病不确定感[采取中文版Mishel疾病不确定感量表(MUIS)评估];比较干预期间治疗完成率和随访3 个月内的复诊依从性;比较干预前、干预1 个月、随访3 个月时的生活质量[采用中文版尖锐湿疣患者生活质量问卷(CECA10)评估];比较随访 3 个月期间的复发率.结果 干预 1 个月,观察组心理痛苦温度计(DT)得分、心理痛苦筛查工具问题列表(PL)中生理、情绪、家庭维度得分均低于对照组,差异均有统计学意义(P＜0.05),2 组PL实际问题、精神或宗教信仰维度得分差异均无统计学意义(P＞0.05);观察组MUIS各维度及总分均低于对照组,差异均有统计学意义(P＜0.05).干预期间观察组治疗完成率高于对照组(P＜0.05).随访3 个月,观察组按时复查率高于对照组(P＜0.05),观察组复发率低于对照组(P＜0.05).观察组干预1 个月、随访3 个月的CECA10 得分均高于对照组,差异均有统计学意义(P＜0.05).结论 应用AIDET沟通结合动机访谈式健康教育可有效缓解老年女性尖锐湿疣患者心理痛苦和疾病不确定感,对提高疗效和复诊依从性有积极效果,可避免短期复发,有效改善生活质量,具有一定的临床应用价值.

英文摘要:

      Objective To explore the effects of AIDET communication combined with motivational interview health ed-ucation on elderly female patients with condyloma acuminatum,and provide methods for the treatment of this disease.Methods 154 elderly female patients with condyloma acuminatum admitted to First Affiliated Hospital of Air Force Medical University from March 2018 to March 2023 were recruited and divided into observation group and control group according to the random number table method,with 77 cases in each group.Both groups were treated with carbon dioxide laser combined with interferon.At the same time,the control group received routine health education intervention,and the observation group re-ceived AIDET communication combined with motivational interview health education intervention.Both groups were intervened for 1 month.The psychological distress(assessed by psychological distress screening tool)and disease uncertainty[assessed by Chinese Version of Mishel's Uncertainty in Illness Scale(MUIS)]were compared between the two groups before intervention and at 1 month of intervention.The treatment completion rate during intervention and return visit compliance within 3 months of follow-up were compared between the two groups.The quality of life[assessed by Chinese Version of Quality of Life Ques-tionnaire for Patients with Condyloma Acuminatum(CECA10)]were compared between the two groups before intervention,at 1 month of intervention and at 3 months of follow-up.The recurrence rate during 3 months of follow-up were compared be-tween the two groups.Results At 1 month of intervention,the scores of psychological distress thermometer(DT)and scores of dimensions of physiology,emotion and family in Psychological Distress Screening Tool Problem List(PL)of the observa-tion group were lower than those of the control group(P＜0.05),but there were no statistical differences in the scores of di-mensions of practical problems and spiritual or religious beliefs in PL between the two groups(P＞0.05).The scores of all di-mensions and total scores of MUIS of the observation group were lower than those of the control group,and the differences were statistically significant(P＜0.05).During intervention,the treatment completion rate of the observation group was higher than that of the control group(P＜0.05).During 3 months of follow-up,the rate of on-time return visit compliance of the ob-servation group washigher than that of the control group(P＜0.05),and the recurrence rate of the observation group waslow-er than that of the control group(P＜0.05).The CECA10 scores of the observation group at1 month and3 months of follow-up were higher than those of the control group,and the differences were statistically significant(P＜0.05).Conclusion The application of AIDET communication combined with motivational interview health education can effectively alleviate the psy-chological distress and disease uncertainty of elderly female patients with condyloma acuminatum.It has a positive effect on im-proving the curative effect and return visit compliance of patients,can avoid short-term recurrence,effectively improve the quality of life of patients,and has certain clinical application value.