Department of Medical Psychology, Radboud University Nijmegen Medical Centre, The Netherlands.
Chron Respir Dis. 2012;9(4):259-68. doi: 10.1177/1479972312459974.
In clinical practice and in self-management studies it appears that it is very difficult to change behaviour in patients with chronic obstructive pulmonary disease (COPD) in order to achieve adequate self-management. In this respect the role of motivational processes is underestimated and rarely is specifically targeted in interventions. In this article, the fundamentals of motivational processes are discussed followed by a detailed description of the Nijmegen Clinical Screening Instrument (NCSI) method. The NCSI method is a simple method that enables patient-tailored treatment and to motivate patients to adhere to treatment goals. The NCSI method consists of three distinct but highly integrated components: (1) a short instrument measuring many details of health status; (2) an intervention that helps to identify individual treatment goals and to motivate the patient to change his behaviour; (3) an automated monitoring system that simply identifies patients with new problems in health status of self-management. All components are embedded in a web-based application which enhances simplicity, efficiency, and effectiveness of the NCSI method. The NCSI method is illustrated by a case study.
在临床实践和自我管理研究中，似乎很难改变慢性阻塞性肺疾病（COPD）患者的行为，以实现充分的自我管理。在这方面，动机过程的作用被低估了，而且很少在干预措施中专门针对这些过程。本文讨论了动机过程的基本原理，然后详细描述了奈梅亨临床筛选工具（NCSI）方法。NCSI 方法是一种简单的方法，可以实现针对患者的治疗，并激励患者坚持治疗目标。NCSI 方法由三个不同但高度集成的部分组成：（1）一种简短的工具，可测量健康状况的许多细节；（2）一种干预措施，有助于确定个体治疗目标，并激励患者改变行为；（3）一个自动化监测系统，可简单识别健康状况和自我管理方面出现新问题的患者。所有组件都嵌入在一个基于网络的应用程序中，从而提高了 NCSI 方法的简单性、效率和效果。通过案例研究说明了 NCSI 方法。
