护士主导的动机性访谈对双相情感障碍患者药物依从性的影响。
The effect of nurse-led motivational interviewing on medication adherence in patients with bipolar disorder.
作者信息
McKenzie Kristin, Chang Yu-Ping
机构信息
Child and Family Services, Buffalo, New York, USA.
出版信息
Perspect Psychiatr Care. 2015 Jan;51(1):36-44. doi: 10.1111/ppc.12060. Epub 2014 Jan 17.
PURPOSE
The purpose of this study was to test the effect of motivational interviewing (MI) on medication adherence in patients with bipolar disorder (BD) in an outpatient setting.
DESIGN AND METHODS
Pretest-posttest design was used. The 3-week MI intervention consisted of one face-to-face session and two follow-up telephone interventions. Outcome measures included medication adherence, self-efficacy, and motivation to change.
FINDINGS
Participants demonstrated significant improvement in medication adherence, self-efficacy, and motivation to change after receiving the MI.
PRACTICE IMPLICATIONS
MI shows promising results as a treatment approach to improve medication adherence in adults with BD. Psychiatric-mental health nurse practitioners could improve client health outcomes by implementing MI techniques.
目的
本研究旨在测试动机性访谈（MI）对门诊双相情感障碍（BD）患者药物依从性的影响。
设计与方法
采用前测-后测设计。为期3周的MI干预包括一次面对面访谈和两次随访电话干预。结果指标包括药物依从性、自我效能感和改变动机。
研究结果
参与者在接受MI后，药物依从性、自我效能感和改变动机均有显著改善。
实践意义
MI作为一种改善BD成年患者药物依从性的治疗方法显示出了有前景的结果。精神心理健康护理从业者可通过实施MI技术改善患者的健康结局。
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