Motivational interviewing to change quality of life for people with chronic heart failure: A randomised controlled trial
Motivational interviewing to change quality of life for people with chronic heart failure: A randomised controlled trial
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DOI：
10.1016/j.ijnurstu.2006.11.009
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发表时间：
2008-04-01
影响因子：
8.1
通讯作者：
Shawa, David G.
中科院分区：
文献类型：
--
作者：
Brodie, David A.;Inoue, Allison;Shawa, David G.
背景资料：慢性心力衰竭患者的生活质量下降，部分原因是他们的体力活动和独立性有限。目的：本文研究了基于动机访谈的体力活动“生活方式”干预与常规治疗相比，是否会改善基线5个月时的生活质量。方法：2002年，60名老年慢性心力衰竭患者被随机分配到“标准护理”、“动机访谈”或“两者兼而有之”治疗组，为期5个月。主要结果的措施是医疗成果简表-36健康调查，疾病特异性明尼苏达州生活与心力衰竭问卷和动机准备体力活动scale.Results：有年龄，冠状动脉危险因素，慢性心力衰竭的严重程度，射血分数，具体的实验室检查，住院时间，药物治疗和社会支持在基线组之间无显着差异。治疗后，在“动机访谈”组中，健康调查的三个维度都有显著增加（p < 0.05）。所有组在心力衰竭问卷上的评分均有所改善（p < 0.05）。在五个月的时间内，有一个总体趋势，提高自我效能和动机scores.Conclusions：本研究表明，“动机面试”的干预，纳入行为改变的原则，以促进体力活动，是有效的，在增加选定的方面的一般生活质量问卷和疾病的具体生活质量问卷。因此，与传统的锻炼计划相比，“动机访谈”方法是一种可行的选择。重要的是要更广泛地测试这些动机性访谈干预措施，特别是将个人与治疗相匹配。(c)2006爱思唯尔有限公司保留所有权利。
Background: Patients with chronic heart failure have a reduced quality of life due in part to their limited range of physical activity and independence.Objectives: The paper examines whether a physical activity 'lifestyle' intervention, based on motivational interviewing, will improve quality of life at five months from baseline, compared with conventional treatment.Methods: Sixty older patients with chronic heart failure were randomly assigned to either a 'standard care', 'motivational interviewing' or 'both' treatment groups for five months in 2002. The primary outcome measures were the Medical Outcomes Short Form-36 Health Survey, the disease-specific Minnesota Living with Heart Failure questionnaire and the Motivation Readiness for Physical Activity scale.Results: There were non-significant differences between the groups at baseline for age, coronary risk factors, severity of chronic heart failure, ejection fraction, specific laboratory tests, length of hospitalisation, medication and social support. Following treatment there was a significant increase (p < 0.05) for three of the dimensions of the health survey in the 'motivational interviewing' group. All groups improved their scores (p < 0.05) on the heart failure questionnaire. Over the five month period there was a general trend towards improvements in self-efficacy and motivation scores.Conclusions: This study has demonstrated that a 'motivational interviewing' intervention, incorporating behaviour change principles to promote physical activity, is effective in increasing selected aspects of a general quality of life questionnaire and a disease-specific quality of life questionnaire. Thus a 'motivational interviewing' approach is a viable option compared with traditional exercise programming. It is important to test these motivational interviewing interventions more widely, especially to match individuals to treatments. (c) 2006 Elsevier Ltd. All rights reserved.