동기면담이 심부전 환자의 질병관련 지식, 우울, 자가간호 및 삶의 질에 미치는 효과
Effects of Motivational Interviewing on Disease-related Knowledge, Depression, Self-care, and Quality of Life in Patients with Heart Failure
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Purpose: The purpose of this study was to investigate the impact of motivational interviewing on disease-related knowledge, depression, self-care behavior, and health-related quality of life in patients with heart failure. Methods: Twenty outpatients with heart failure being seen at one of three hospitals in southern areas of South Korea were randomly assigned to the experimental group (n=9) or control group (n=11). The experimental group received 10-20 minute telephone interviews, twice a week for four weeks. Data were collected from May 1 to October 31, 2012. Results: Participants in the experimental group showed significant increases in levels of disease-related knowledge and self-care behaviors, especially in the area of regular exercise. Conclusion: The findings of this study suggest the possibility of motivational interviewing to elicit behavior changes in patients with heart failure. Considering the high refusal and drop-out rates of the study participants, developing more systematic approaches for patient recruitment and retention strategies are required. Repeated studies with bigger sample size would strengthen the generalizability of the study findings.
Abstract
Purpose: The purpose of this study was to investigate the impact of motivational interviewing on disease-related knowledge, depression, self-care behavior, and health-related quality of life in patients with heart failure. Methods: Twenty outpatients with heart failure being seen at one of three hospitals in southern areas of South Korea were randomly assigned to the experimental group (n=9) or control group (n=11). The experimental group received 10-20 minute telephone interviews, twice a week for four weeks. Data were collected from May 1 to October 31, 2012. Results: Participants in the experimental group showed significant increases in levels of disease-related knowledge and self-care behaviors, especially in the area of regular exercise. Conclusion: The findings of this study suggest the possibility of motivational interviewing to elicit behavior changes in patients with heart failure. Considering the high refusal and drop-out rates of the study participants, developing more systematic approaches for patient recruitment and retention strategies are required. Repeated studies with bigger sample size would strengthen the generalizability of the study findings.
참고문헌 (30)
- Ainsworth, B. E., "Compendium of physical activities: an update of activity codes and MET intensities", Medicine & Science in Sports & Exercise, 32, pp.S498~S504 (2000)
- Albert, N. M., "Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors", Patient Education and Counseling, 69, pp.129~139 (2007)
- Balk, A. H., "Tele-guidance of chronic heart failure patients enhances knowledge about the disease. A multi-centre, randomised controlled study", European Journal of Heart Failure, 10(11), pp.1136~1142 (2008)
- Brodie, D. A., "Motivational interviewing to promote physical activity for people with chronic heart failure", Journal of Advanced Nursing, 50, pp.518~527 (2005)
- Brodie, D. A., "Motivational interviewing to change quality of life for people with chronic heart failure: A randomised controlled trial", International Journal of Nursing Studies, 45, pp.489~500 (2008)
- Caldwell, M. A., "A simplified education program improves knowledge, self-care behavior, and disease severity in heart failure patients in rural settings", American Heart Journal, 150, pp.983e7~983e12 (2005)
- Fotos, N. V., "Health-related quality of life of patients with severe heart failure. A crosssectional multicentre study", Scandinavian Journal of Caring Sciences (2012)
- Gottleib, S. S., "The influence of age, gender, and race on the prevalence of depression in heart failure patients", Journal of the American College of Cardiology, 43, pp.1542~1549 (2004)
- Green, C. P., "Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: A new health status measure for heart failure", Journal of American College of Cardiology, 35, pp.1245~1255 (2000)
- "Executive summary: HFSA 2010 comprehensive heart failure practice guideline" (2010)[URL]
- Holst, M., "Telephone follow-up of self-care behaviour after a single session education of patients with heart failure in primary health care", European Journal of Cardiovascular Nursing, 6, pp.153~159 (2007)
- Jaarsma, T., "Development and testing of the European Heart Failure Self-Care Behaviour Scale", European Journal of Heart Failure, 5, pp.363~370 (2003)
- 이해정, "전화상담이 치매노인 간호제공자의 소진경험, 우울, 삶의 질, 지각된 건강상태에 미치는 영향", 성인간호학회지, 15(3), pp.452~462 (2003), 성인간호학회
- Luyster, F. S., "Depression and anxiety symptoms are associated with reduced dietary adherence in heart failure patients treated with an implantable cardioverter defibrillator", Journal of Cardiovascular Nursing, 24(1), pp.10~17 (2009)
- Miller, W. R., "Motivational interviewing: preparing people for change" (2002), Guilford Press
- National Institute for Health and Clinical Excellence, "Chronic heart failure: National clinical guideline for diagnosis and management in primary and secondary care", National Clinical Guideline Centre, ~ (2010)
- Nelson, M. E., "Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association", Circulation, 116, pp.1094~1105 (2007)
- Ok, J. S., "Factors affecting the adherence to self-care behaviors among outpatients with heart failure in Korea", 석사, pp.2011
- Paradis, V., "The efficacy of a motivational nursing intervention based on the stages of change on self-care in heart failure patients", Journal of Cardiovascular Nursing, 25, pp.130~141 (2010)
- Prochaska, J. O., "Stage of change and decisional balance for 12 problem behaviors", Health Psychology, 13, pp.39~46 (1994)
- Radloff, L. S., "The CES-D scale: A self-report depression scale for research in the general population", Applied Psychological Measurement, 1, pp.385~401 (1977)
- Riegel, B., "Promoting self-care in persons with heart failure: A scientific statement from the American Heart Association", Circulation, 120, pp.1141~1163 (2009)
- Schnell-Hoehn, K. N., "Determinants of self-care behaviors in community-dwelling patients with heart failure", Journal of Cardiovascular Nursing, 24, pp.40~47 (2009)
- 손숙미, "우리나라 성인의 나트륨 섭취량 추정을 위한 음식섭취빈도조사지의 개발과 타당성 검증에 관한 연구", 대한지역사회영양학회지, 12(6), pp.838~853 (2007), 대한지역사회영양학회
- 손연정, "만성 심부전 환자의 자가간호 이행 관련요인", 성인간호학회지, 23(3), pp.244~254 (2011), 성인간호학회
- Song, E. K., "Effect of self-management telephone monitoring in patients with heart failure", 석사, pp.2003
- van der Wal, M. H., "Development and testing of the Dutch Heart Failure Knowledge Scale", European Journal of Cardiovascular Nursing, 4, pp.273~277 (2005)
- van der Wal, M. H., "Compliance in heart failure patients: The importance of knowledge and beliefs", European Heart Journal, 27, pp.434~440 (2006)
- van Jaarsveld, C. H., "Genderspecific risk factors for mortality associated with incident coronary heart disease: A prospective community-based study", Preventive Medicine, 43, pp.361~367 (2006)
- Welsh, D., "Low-sodium diet self-management intervention in heart failure: pilot study results", European Journal of Cardiovascular Nursing, 12, pp.87~95 (2013)