Application of Motivational Interview Combined with Staged Nursing in Treatment of Coronary Heart Disease Patients

Abstract

To investigate the effect of motivational interview combined with staged nursing on blood pressure control, general self-efficacy scale score and compliance behavior of coronary heart disease patients. From March 2017 to June 2019, 143 coronary heart disease patients from Xi'an Jiaotong University Health Science Center were selected and divided into combined group and routine group by random number table. The routine group received routine nursing, while the combined group received motivational interview combined with staged nursing. Comparison was made between the two groups in terms of blood pressure control effect, general self-efficacy scale score, self-management capability and compliance behavior. 6 mo after discharge, the combined group had systolic blood pressure of (119.76±15.38) mmHg and diastolic blood pressure of (78.43±10.08) mmHg, which were significantly lower than the routine group (125.63±16.81) mmHg and (82.75±11.14) mmHg (p<0.05). 6 mo after discharge, the combined group had general self-efficacy scale score of (31.58±4.76) points and coronary self-management scale score of (78.52±8.64) points, which were significantly higher than the routine group (26.72±5.83) points and (71.33±9.06) points (p<0.05). The combined group had higher compliance rate in reasonable diet, exercise, quitting smoking and drinking, medication on time, mental relaxation than the routine group (p<0.05). Motivational interview combined with staged nursing can help to improve the effect of blood pressure control in coronary heart disease patients, enhance their self-efficacy and self-management capabilities and effectively improve their compliance behavior.