动机性访谈对慢性病青少年和年轻患者的依从性和症状严重程度的影响：系统评价。
The impact of motivational interviewing on adherence and symptom severity in adolescents and young adults with chronic illness: A systematic review.
机构信息
Auburn University, Department of Psychology, Auburn, AL, United States.
Auburn University, Department of Health Outcomes and Research Policy, Auburn, AL, United States.
出版信息
Patient Educ Couns. 2017 Dec;100(12):2190-2199. doi: 10.1016/j.pec.2017.05.037. Epub 2017 Jun 14.
OBJECTIVE
Given the negative consequences associated with non-adherence in adolescents and young adults (AYAs) with chronic illness, it is important to identify interventions to address this issue. Therefore, this review's primary objective is to evaluate the impact of motivational interviewing (MI) on adherence and symptom level/severity in AYAs with chronic illness using a modified Cochrane method.
METHOD
Four databases (e.g., CINAHL, Medline, PsychINFO, and International Pharmaceutical Abstracts) were systematically reviewed. 121 articles were identified in the initial search. Article eligibility was assessed on two tiers using the inclusion criteria.
RESULTS
Twelve articles were retained for data extraction. Diabetes, asthma, and HIV were the most common chronic illness populations examined in the study. Eleven of the twelve articles provided support for either improved adherence, symptom reduction, or a combination of both after participants received MI. Quality of life was also enhanced in three studies.
CONCLUSION
Because adherence and symptom levels were positively impacted, it appears that MI may be a promising intervention for AYAs with chronic illness in addressing non-adherence and potentially improving quality of life.
PRACTICE IMPLICATIONS
Healthcare providers should consider implementing MI in their practice to establish rapport and potentially improve long-term health outcomes for AYAs with chronic illness.
目的
鉴于青少年和年轻人（AYAs）慢性病患者不遵医嘱会带来负面后果，因此确定干预措施来解决这个问题非常重要。因此，本综述的主要目的是使用改良 Cochrane 方法评估动机性访谈（MI）对慢性病 AYAs 的遵医行为和症状水平/严重程度的影响。
方法
系统检索了四个数据库（例如，CINAHL、Medline、PsychINFO 和国际药学文摘）。在初步搜索中确定了 121 篇文章。使用纳入标准对文章的资格进行了两级评估。
结果
有 12 篇文章被保留用于数据提取。在研究中，糖尿病、哮喘和 HIV 是最常见的慢性病人群。在接受 MI 后，11 篇文章中的 12 篇提供了改善遵医行为、减轻症状或两者兼有的支持证据。有 3 项研究还提高了生活质量。
结论
由于遵医行为和症状水平都得到了积极影响，因此 MI 似乎是慢性病 AYAs 解决不遵医嘱问题并可能改善生活质量的一种有前途的干预措施。
实践意义
医疗保健提供者应考虑在其实践中实施 MI，以建立融洽关系，并有可能改善慢性病 AYAs 的长期健康结果。
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