Refereed conference paper presented and published in conference proceedings
香港中文大学研究人员 ( 现职)
| 车锡英教授 (那打素护理学院) |
全文
典藏于此文库的全文
数位物件识别号 (DOI) http://dx.doi.org/10.4172/2155-9880.C1.043 出版商提供的全文 http://cardiac.nursingconference.com/ |
其它资讯
摘要Motivational interviewing (MI), a well-recognized counselling skill, has been widely used in promoting behavioral changes. A randomized controlled trial was conducted to examine the effects of MI on patient outcomes and health-related quality of life (HRQoL) among cardiac patients. The control group (CG) received usual care of an 8-week cardiac rehabilitation (CR), including 16 sessions of 2-hour exercise and 6 sessions of 1-hour education. The intervention group (IG), on top of the usual care, received extra 10 sessions of MI (30-45 minutes/session) on building the motivation for change. Clinical outcomes (blood pressure, body mass index, and lipid profiles), depression and anxiety (Hospital Anxiety and Depression Scale), and HRQoL (SF-36) were measured at baseline and 3-month after entering study. As result, 146 patients (73 per group) were recruited. There was no significant difference in clinical outcomes between groups after intervention (all p values>0.05). Patients in the IG had more improvements in HRQoL, in the aspects of general health (p=0.048) and role limitation due to emotional problems (p=0.024). However, the IG group reported significantly higher increases in anxiety levels than those in CG (p=0.030). In conclusion, MI contributed no significant effect on clinical outcomes and limited effect on HRQoL in cardiac patients at 3-month. With an already comprehensive and intensive CR program, it might be difficult to achieve extra clinical improvements. Given the increased anxiety levels in the IG, MI might become a burden to those who need to rush to work after CR.
着者CHAIR Sek Ying
会议名称8th Cardiovascular Nursing & Nurse Practitioners Meeting
会议开始日08.08.2016
会议完结日09.08.2016
会议地点Las Vegas, Nevada
会议国家美国
会议论文集题名Journal of Clinical & Experimental Cardiology
出版年份2016
卷号7
期次7 Suppl
出版社OMICS International
页次40 - 40
语言英式英语
关键词motivational interviewing, cardiac rehabilitation, patient outcomes
