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医疗保健专业人员在与肥胖孕妇接触中运用动机性访谈的经验。

Healthcare professionals experience with motivational interviewing in their encounter with obese pregnant women.

作者信息

Lindhardt Christina Louise, Rubak Sune, Mogensen Ole, Hansen Helle Ploug, Goldstein Henri, Lamont Ronald F, Joergensen Jan Stener

机构信息

Department of Gynaecology and Obstetrics, Clinical Institute, University of Southern Denmark, Odense University Hospital, Odense 5000, Denmark.

Department of Paediatrics, Aarhus University Hospital, Centre of Medical Education, University of Aarhus, Aarhus, Denmark.

出版信息

Midwifery. 2015 Jul;31(7):678-84. doi: 10.1016/j.midw.2015.03.010. Epub 2015 Apr 8.

Abstract

OBJECTIVE

to explore and describe how healthcare professionals in the Southern Region of Denmark experienced motivational interviewing as a communication method when working with pregnant women with obesity.

DESIGN

a qualitative, descriptive study based on face-to-face interviews with 11 obstetric healthcare professionals working in a perinatal setting.

METHODS

a thematic descriptive method was applied to semi-structured interviews. The healthcare professional's experiences were recorded verbatim during individual semi-structured qualitative interviews, transcribed, and analysed using a descriptive analysis methodology.

FINDINGS

motivational interviewing was found to be a useful method when communicating with obese pregnant women. The method made the healthcare professionals more aware of their own communication style both when encountering pregnant women and in their interaction with colleagues. However, most of the healthcare professionals emphasised that time was crucial and they had to be dedicated to the motivational interviewing method. The healthcare professionals further stated that it enabled them to become more professional in their daily work and made some of them feel less 'burned out', 'powerless' and 'stressed' as they felt they had a communication method in handling difficult workloads.

CONCLUSION

healthcare professionals experienced motivational interviewing to be a useful method when working perinatally. The motivational interviewing method permitted heightened awareness of the healthcare professionals communication method with the patients and increased their ability to handle a difficult workload. Overall, lack of time restricted the use of the motivational interviewing method on a daily basis.

摘要

目的

探讨并描述丹麦南部地区的医疗保健专业人员在与肥胖孕妇打交道时,如何将动机性访谈作为一种沟通方式来体验。

设计

一项基于对11名在围产期工作的产科医疗保健专业人员进行面对面访谈的定性描述性研究。

方法

采用主题描述法对半结构化访谈进行分析。在个人半结构化定性访谈过程中,逐字记录医疗保健专业人员的经历,转录后使用描述性分析方法进行分析。

结果

发现动机性访谈在与肥胖孕妇沟通时是一种有用的方法。该方法使医疗保健专业人员在接触孕妇以及与同事互动时,更加意识到自己的沟通方式。然而,大多数医疗保健专业人员强调时间至关重要,他们必须全身心投入到动机性访谈方法中。医疗保健专业人员还表示,这使他们在日常工作中更加专业,并且让他们中的一些人感觉不那么“疲惫不堪”“无能为力”和“压力重重”,因为他们觉得有了一种应对繁重工作量的沟通方法。

结论

医疗保健专业人员认为动机性访谈在围产期工作中是一种有用的方法。动机性访谈方法提高了医疗保健专业人员与患者沟通方式的意识,并增强了他们处理繁重工作量的能力。总体而言,时间不足限制了动机性访谈方法在日常工作中的使用。

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