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术后康复和慢性病管理中的动机性访谈:当前研究结果与未来研究方向。

Motivational interviewing in postoperative rehabilitation and chronic disease management: Current findings and future research directions.

作者信息

Zhang Bing-Ren, Yang Xiao

机构信息

Affiliated Hospital (School of Clinical Medicine), Hangzhou Normal University, Hangzhou 311121, Zhejiang Province, China.

Mental Health Education and Counseling Center, Hangzhou Normal University, Hangzhou 311121, Zhejiang Province, China.

出版信息

World J Psychiatry. 2025 Jan 19;15(1):102737. doi: 10.5498/wjp.v15.i1.102737.

Abstract

This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing (MI) in addressing anxiety and depression among young and middle-aged patients following percutaneous coronary intervention. It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management. MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhancing intrinsic motivation. Research has demonstrated its effectiveness in postoperative recovery for oncological surgery, stroke, organ transplants, and gastrointestinal procedures, as well as in managing chronic conditions such as diabetes, obesity, and periodontal disease. The approach is patient-centered, adaptable, cost-effective, and easily replicable, though its limitations include reliance on the therapist's expertise, variability in individual responses, and insufficient long-term follow-up studies. Future research could focus on developing individualized and precise intervention models, exploring applications in digital health management, and confirming long-term outcomes to provide more comprehensive support for patient rehabilitation.

摘要

这篇社论重点介绍了最近发表的一项研究,该研究探讨了音乐疗法结合动机性访谈(MI)在解决经皮冠状动脉介入治疗后中青年患者的焦虑和抑郁问题方面的有效性。它进一步探讨了MI在术后康复和慢性病管理方面的现有证据以及未来潜在的研究方向。MI旨在通过与患者建立信任关系并增强内在动机来促进行为改变和倡导更健康的生活方式。研究表明,它在肿瘤手术、中风、器官移植和胃肠道手术的术后恢复以及糖尿病、肥胖症和牙周病等慢性病管理中均有效。该方法以患者为中心,具有适应性、成本效益且易于复制,不过其局限性包括依赖治疗师的专业知识、个体反应的可变性以及长期随访研究不足。未来的研究可以集中在开发个性化和精确的干预模型、探索在数字健康管理中的应用以及确认长期结果,以为患者康复提供更全面的支持。

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本文引用的文献

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