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患者动机:一项概念分析。

Patient motivation: A concept analysis.

作者信息

Khomkham Patcharin, Kaewmanee Pootsanee

机构信息

Boromarajonani College of Nursing, Yala, Faculty of Nursing, Praboromarajchanok Institute, Thailand.

出版信息

Belitung Nurs J. 2024 Oct 14;10(5):490-497. doi: 10.33546/bnj.3529. eCollection 2024.

DOI:10.33546/bnj.3529
PMID:39416359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11474273/
Abstract

BACKGROUND

Patient motivation is crucial in maintaining health-improving activities and helping patients recover from illnesses. Despite extensive research on patient motivation, this concept has not been clearly defined and remains ambiguous. The latest analysis of patient motivation was over two decades ago, thus necessitating the need to reexamine it in more updated literature.

OBJECTIVE

This study aims to explore the concept of patient motivation.

METHODS

The eight-step approach of Walker and Avant was used: concept selection, determining analysis aim, identifying concept use, defining attributes, model case identification, borderline and contrary case identification, antecedents and consequences identification, and empirical referent identification. Five databases, CINAHL, Cochrane, Medline, PubMed, ProQuest, and ScienceDirect, were searched for published works between 2014 and 2024 using the keywords "patient" and "motivation."

RESULTS

The identified attributes of patient motivation are a psychological drive, a desire to adopt healthy behaviors, and goal-directed action. Antecedents of patient motivation are self-efficacy, provider-patient communication, and social support. Patient motivation leads to consequences, including healthier lifestyles and greater adherence and compliance.

CONCLUSION

The present concept analysis draws upon current literature to suggest the antecedents, attributes, and consequences of patient motivation. Nurses can promote healthier lifestyles and greater adherence and compliance among patients by employing techniques to raise self-efficacy and provide social support while enhancing patient-centered interactions.

摘要

背景

患者动机对于维持促进健康的活动以及帮助患者从疾病中康复至关重要。尽管对患者动机进行了广泛研究,但这一概念尚未得到明确定义,仍然模糊不清。上一次对患者动机的分析是在二十多年前,因此有必要在更新的文献中重新审视它。

目的

本研究旨在探讨患者动机的概念。

方法

采用沃克和阿凡特的八步法:概念选择、确定分析目的、识别概念用法、定义属性、确定典型案例、识别边界案例和相反案例、识别前因后果以及识别实证参照物。使用关键词“患者”和“动机”在五个数据库(CINAHL、Cochrane、Medline、PubMed、ProQuest和ScienceDirect)中搜索2014年至2024年期间发表的作品。

结果

确定的患者动机属性是一种心理驱动力、采取健康行为的愿望和目标导向的行动。患者动机的前因是自我效能感、医患沟通和社会支持。患者动机导致的后果包括更健康的生活方式以及更高的依从性。

结论

本概念分析借鉴当前文献,提出了患者动机的前因、属性和后果。护士可以通过采用提高自我效能感和提供社会支持的技巧,同时加强以患者为中心的互动,来促进患者更健康的生活方式以及更高的依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b662/11474273/3d381000af78/BNJ-10-5-490-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b662/11474273/3d381000af78/BNJ-10-5-490-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b662/11474273/3d381000af78/BNJ-10-5-490-g001.jpg

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The evaluation of goal-directed activities to promote well-being and health in heart failure: EUROIA scale.旨在促进心力衰竭患者健康和福祉的目标导向活动的评估:EUROIA 量表。
J Patient Rep Outcomes. 2024 Apr 29;8(1):47. doi: 10.1186/s41687-024-00723-x.
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Development and Psychometric Evaluation of the Motivation for Healing Scale in Patients with Cancer.
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Prim Care Diabetes. 2024 Jun;18(3):347-355. doi: 10.1016/j.pcd.2024.03.006. Epub 2024 Apr 4.
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Motivation and Obesity Care.动机与肥胖症护理。
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