Department of Psychiatric Nursing, Faculty of Health Science, Pamukkale University, Denizli, Turkey.
Department of Psychiatric Nursing, Faculty of Health Science, Pamukkale University, Denizli, Turkey.
Arch Psychiatr Nurs. 2023 Aug;45:72-79. doi: 10.1016/j.apnu.2023.04.018. Epub 2023 May 9.
Using therapeutic techniques and conducting motivational interviews in communication with patients with schizophrenia increases individuals' functional remission, insight, and motivation levels.
This single-blind, randomized controlled study examines the effect of Interpersonal Relations Theory-Based motivational interviews on functional remission and insight levels in patients with schizophrenia.
The participants of this study were 40 patients with schizophrenia randomly assigned to either the experimental or control groups (20 in each group). The researchers carried out a 6-session Interpersonal Relations Theory-based motivational interview with the participants in the experimental group. Study data were collected using a demographic questionnaire, the Functional Remission of General Schizophrenia Scale (FROGS), and the Scale for Assessing the Three Components of Insight (SAI).
Social Functioning, Health and Treatment, Daily Living Skills, and SAI scores of the individuals in the intervention group were statistically higher than those in the control group (p < 0.05) in the post-intervention and follow-up measures. There was a positive and significant correlation between the post-intervention Social Functioning, Health and Treatment, Daily Life Skills, and total FROGS scores and the SAI score of the individuals in the intervention group (p < 0.05).
It was concluded that motivational interviews based on Interpersonal Relations Theory were effective in increasing the insights and functionality of patients with schizophrenia. Psychiatric nurses' practice of motivational interviews based on the therapeutic relationship is considered to increase the quality of care and satisfaction of patients with schizophrenia. It is recommended that this practice be used extensively in clinical practice.
在与精神分裂症患者的沟通中使用治疗技术和进行动机访谈可以提高个体的功能缓解、洞察力和动机水平。
本单盲、随机对照研究检验了基于人际关系理论的动机访谈对精神分裂症患者功能缓解和洞察力水平的影响。
本研究的参与者为 40 名随机分配到实验组或对照组（每组 20 名）的精神分裂症患者。研究人员对实验组的参与者进行了 6 次基于人际关系理论的动机访谈。使用人口统计学问卷、一般精神分裂症功能缓解量表（FROGS）和洞察力三个维度评估量表（SAI）收集研究数据。
干预组的社会功能、健康和治疗、日常生活技能和 SAI 评分在干预后和随访时均显著高于对照组（p<0.05）。干预后社会功能、健康和治疗、日常生活技能和 FROGS 总分与干预组 SAI 评分呈正相关（p<0.05）。
基于人际关系理论的动机访谈可以有效提高精神分裂症患者的洞察力和功能。基于治疗关系的动机访谈是精神科护士的实践，可以提高精神分裂症患者的护理质量和满意度。建议在临床实践中广泛应用这种实践。
