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《动机性访谈技术教育随访对接受口服化疗癌症患者自我效能和药物依从性的影响:一项随机对照试验》。

The Effect of Educational Follow-Up with the Motivational Interview Technique on Self-Efficacy and Drug Adherence in Cancer Patients Using Oral Chemotherapy Treatment: A Randomized Controlled Trial.

机构信息

Eldivan Vocational School of Health Services, Çankırı Karatekin University, Çankırı, Turkey.

Faculty of Nursing, Internal Medicine Nursing Department, Hacettepe University, Ankara, Turkey.

出版信息

Semin Oncol Nurs. 2021 Apr;37(2):151140. doi: 10.1016/j.soncn.2021.151140. Epub 2021 Mar 22.

Abstract

OBJECTIVES

This study aimed to determine the effect of educational follow-up with the motivational interview technique on drug adherence and self-efficacy in patients with cancer using at least one oral chemotherapy drug.

DATA SOURCES

A total of 80 patients with cancer were randomly allocated to the intervention group or the control group. Educational follow-up with the motivational interview technique was applied to the patients with phone calls during weeks 1, 3, 6, and 9. Patients in the intervention and control groups were evaluated during both the first interview and at week 12 using a questionnaire, the medication adherence self-efficacy scale (MASES), and oral chemotherapy adherence scale (OCAS).

CONCLUSION

At the end of the study, the level of drug adherence and self-efficacy of patients who received educational follow-up with the motivational interview technique by phone call increased significantly (P < .001). Additionally, the level of drug self-efficacy of patients increased (P < .001).

IMPLICATIONS FOR NURSING PRACTICE

This study emphasizes treatment compliance problems of patients with cancer using oral chemotherapy. Designed with communication techniques that will be added to our counseling process, interventions can allow nurses to use their time effectively.

摘要

目的

本研究旨在确定通过动机访谈技术进行教育随访对至少使用一种口服化疗药物的癌症患者的药物依从性和自我效能的影响。

资料来源

共随机分配 80 例癌症患者进入干预组或对照组。对接受电话随访的患者在第 1、3、6 和 9 周应用动机访谈技术进行教育随访。干预组和对照组患者在首次访谈和第 12 周时均通过问卷、药物依从性自我效能量表(MASES)和口服化疗药物依从性量表(OCAS)进行评估。

结论

研究结束时,通过电话接受教育随访的患者的药物依从性和自我效能水平显著提高(P <.001)。此外,患者的药物自我效能水平也有所提高(P <.001)。

对护理实践的意义

本研究强调了使用口服化疗治疗的癌症患者的治疗依从性问题。通过与咨询过程相结合的沟通技巧设计的干预措施可以使护士更有效地利用时间。

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