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研究方案:动机性访谈对成年肾移植受者自我管理的影响(MIAKTR)

Study protocol: The effect of motivational interviewing on self-management in adult kidney transplant recipients (MIAKTR).

作者信息

Erdem Cigdem, Cebeci Fatma

机构信息

Suleyman Demirel University, Faculty of Health Sciences, Cunur, Isparta, Turkey.

Akdeniz University, Faculty of Nursing, Head of the Surgical Nursing Department and Tuncer Karpuzoğlu Organ Transplant Institute, Konyaaltı, Antalya, Turkey.

出版信息

J Educ Health Promot. 2023 Aug 31;12:267. doi: 10.4103/jehp.jehp_1368_22. eCollection 2023.

DOI:10.4103/jehp.jehp_1368_22
PMID:37849871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10578554/
Abstract

BACKGROUND

The aim of the study is to examine the effect of motivational interview sessions on self-management that will be conducted in accordance with the post-discharge requirements of adult kidney transplant recipients. Patient-centered motivational interviews make a significant contribution to activating patients' sense of being capable of changing to realize their self-management.

MATERIAL AND METHODS

This study is a single-center, single-blind, prospective randomized controlled trial. The participants of the study will consist of 80 kidney transplant recipients at an organ transplant center in Turkey. The study is a randomized controlled trial compatible with SPIRIT. The CONSORT flow diagram has been used in this study protocol. The sample will consist of participants within the 3, 4, 5, and 6 months after the kidney transplant. The measurements will be performed in the first and third months after the interviews. The study continues via the collection of data from the intervention and control groups.

CONCLUSION

In order to support or improve the self-management of kidney transplant recipients, new tools are required that are suitable for this population. Patient-centered motivational interviews can make a significant contribution to activating patients' sense of being capable of changing to realize their self-management. The first motivational interview program to promote a healthy lifestyle in kidney transplant recipients, prevent unwanted conditions after transplantation, and improve self-management will be used in this study. After the intervention has been developed, we expect improvements in self-management with a motivational interviews through creating their own strategies for behavioral changes and improvements in health outcomes.

摘要

背景

本研究旨在探讨动机性访谈对成人肾移植受者出院后自我管理的影响。以患者为中心的动机性访谈对于激发患者改变的能力感以实现自我管理具有重要作用。

材料与方法

本研究为单中心、单盲、前瞻性随机对照试验。研究参与者将包括土耳其一家器官移植中心的80名肾移植受者。本研究是一项符合SPIRIT的随机对照试验。本研究方案中使用了CONSORT流程图。样本将由肾移植后3、4、5和6个月内的参与者组成。测量将在访谈后的第一个月和第三个月进行。研究通过收集干预组和对照组的数据继续进行。

结论

为了支持或改善肾移植受者的自我管理,需要适合该人群的新工具。以患者为中心的动机性访谈对于激发患者改变的能力感以实现自我管理具有重要作用。本研究将采用首个促进肾移植受者健康生活方式、预防移植后不良状况并改善自我管理的动机性访谈项目。在开发干预措施后,我们期望通过动机性访谈让患者制定自己的行为改变策略,从而改善自我管理并提高健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b55/10578554/c6d41a52475a/JEHP-12-267-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b55/10578554/c6d41a52475a/JEHP-12-267-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b55/10578554/c6d41a52475a/JEHP-12-267-g001.jpg

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本文引用的文献

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Comparing the effectiveness of motivational interviewing and self-development education on type II diabetes mellitus patients' lifestyle.比较动机性访谈和自我发展教育对II型糖尿病患者生活方式的有效性。
J Educ Health Promot. 2021 Nov 30;10:434. doi: 10.4103/jehp.jehp_860_20. eCollection 2021.
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Self-Care Education Program as a New Pathway Toward Improving Quality of Life in Kidney Transplant Patients: A Single-Blind, Randomized, Controlled Trial.
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J Educ Health Promot. 2020 Feb 28;9:37. doi: 10.4103/jehp.jehp_503_19. eCollection 2020.
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Mobile medication manager application to improve adherence with immunosuppressive therapy in renal transplant recipients: A randomized controlled trial.移动药物管理应用程序改善肾移植受者免疫抑制治疗的依从性:一项随机对照试验。
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A Nurse-Led Self-Management Support Intervention (ZENN) for Kidney Transplant Recipients Using Intervention Mapping: Protocol for a Mixed-Methods Feasibility Study.一项使用干预映射法为肾移植受者开展的由护士主导的自我管理支持干预(ZENN):一项混合方法可行性研究的方案
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