Olaiya Oluwatobi, Alagabi Awwal, Igboanugo Sonia, Glass Morgan L, McRae Mark, Amaladoss Alfred
Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Faculty of Health, York University, Toronto, ON, Canada.
Plast Surg (Oakv). 2023 May;31(2):126-131. doi: 10.1177/22925503211042870. Epub 2021 Dec 22.
Plastic surgeons treat a large volume of patients with upper limb morbidity resulting from intravenous drug use. The use of motivational interviewing by health care providers has demonstrated effectiveness in eliciting behavioral change, leading to improved health outcomes. This paper aims to explore the concept and process of motivational interviewing and its role in facilitating behavior change in the plastic surgery setting. The authors reviewed the literature on motivational interviewing in various health care settings. Motivational interviewing, first developed in the field of psychology, has demonstrated effectiveness in facilitating behavior change in various clinical contexts, including brief clinical encounters. Using motivational interviewing guides the patient as they move through the stages of readiness for change in dealing with unhealthy behaviors. The authors demonstrate these techniques in a supplemental instructional video. Motivational interviewing is an evidence-based method for facilitating behavior change. All plastic surgeons should be prepared to use this person-centred counselling method in clinical practice.
整形外科医生治疗大量因静脉注射吸毒导致上肢功能障碍的患者。医疗服务提供者采用动机性访谈已证明在引发行为改变方面有效，从而带来更好的健康结果。本文旨在探讨动机性访谈的概念和过程及其在整形外科环境中促进行为改变的作用。作者回顾了各种医疗环境中关于动机性访谈的文献。动机性访谈最初是在心理学领域发展起来的，已证明在包括简短临床接触在内的各种临床环境中促进行为改变有效。使用动机性访谈可引导患者度过应对不健康行为的改变准备阶段。作者在一个补充教学视频中展示了这些技巧。动机性访谈是一种促进行为改变的循证方法。所有整形外科医生都应准备好在临床实践中使用这种以患者为中心的咨询方法。
