Evaluation of motivational interviewing in self-efficacy and health behavior change in elderly patients with chronic diseases in community
10.3760/cma.j.issn.1674-6554.2014.01.015
- VernacularTitle:动机访谈对社区中老年慢性病患者自我效能和健康行为改变的效果评价
- Author:
Simin BAO
;
Kaijin ZHANG
;
Shizhong TANG
- Publication Type:Journal Article
- Keywords:
Motivational interviewing;
The elderly;
Chronic diseases;
Behavior change
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2014;23(1):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects on self-efficacy and health behavior change in elderly patients with chronic diseases in community by motivational interviewing and to provide the basis for the health behavior management of elderly patients with chronic diseases in community.Methods The study was based on a cross-section investigation by random cluster sampling which included a sample of 287 elderly patients.The questionnaire was localized good life club questionnaire of Australia,including demographic data,prevalence of chronic diseases,health-related indicators,self-health assessment,psychological pressure measurement,life satisfaction scale and assessment of behavior change stage.A total of 265 valid questionnaires were effective,and the effective rate was 92.3％.Results The scores of self-reported symptoms and life satisfaction of patients with chronic diseases after motivational interviewing were significantly higher than before (F=8.527,7.697; P＜0.05),the scores of stress scale and behavior change stages were significantly lower than before (F=229.483,91.613; P＜0.01).The score differences with health self-assessment,functional status and social function evaluation were not statistically significant(F=0.222,2.084,P＞0.05).The number of patients who believed their health are better rose from 102 to 114,the number of patients whose life satisfaction were moderate and above rose from 255 to 265,and the number of high risk of psychological stress reduced from 5 to 1.In the stages of behavior change,the number of people in the action stage rose from 1 to 20,and the number of people in the preparation stage rose from 138 to 215 after the intervention.Conclusion Motivational interviewing can strengthen the self-efficacy in elderly patients with chronic diseases in community significantly and promote healthy behavior change.It is necessary to provide ongoing support for motivational interviewing to consolidate its behavior change outcomes,because of the complexity of the development process of behavior change stages.
