ObjectiveTo establish a motivational interview program based on THRIVE model, and investigate its intervention effects on post-traumatic growth of young and middle-aged stroke convalescent patients.

MethodsSeventy-five young and middle-aged stroke patients were randomly divided into the observation group(38 cases) and control group(37 cases).The control group was treated with traditional psychological nursing intervention, and the observation group was treated with the motivational interview protocol based on THRIVE model.The changes of traumatic growth before and after intervention were compared between two groups.

ResultsAfter intervention, the total score and dimension scores of Chinese post-traumatic growth inventory (C-PTGI) in the observation group were higher than those in control group(P < 0.05).At 4 weeks and 12 weeks after intervention, the scores of life perception, self-transformation and relationship in the observation group were higher than those before intervention(P < 0.01), and after 12 weeks of intervention, the scores of life perception, self-transformation and relationship in the control group were higher than those before intervention(P < 0.05).After 4 weeks and 12 weeks of intervention, the scores of new possibilities and personal strength in the observation group were higher than those before intervention(P < 0.01), and there was no statistical significance in the scores of new possibilities and personal strength in the control group between before and after intervention(P > 0.05).After intervention, the DT score in the observation group was lower than that in control group(P < 0.05), the score of differences in the observation group was lower than that in control group(P < 0.05), and the DT score in the observation group was significantly lower than that before intervention(P < 0.01).After 12 weeks of intervention, the problems of "getting along with family, sleep, fatigue/fatigue, sadness, worry, fear and depression" in the observation group decreased compared with those before intervention(P < 0.05), while there was no statistical significance in the control group between before and after intervention(P > 0.05).

ConclusionsIt is necessary to pay attention to the intervention of post-traumatic growth in young and middle-aged stroke patients.The motivational interview based on THRIVE model can reduce the problems and degree of psychological distress, and improve the level of post-traumatic growth.