动机面试和慢性护理管理使用变化的超理论模型
Angela R Wood1, Levi Ross2, Ralph J Wood3
1Angela R. Wood, PhD, LCSW-BACS, is assistant professor, Department of Health and Human Sciences, Southeastern Louisiana University, SLU 10863, Hammond, LA 70403, USA.
Health & social work
|August 24, 2023
概括
社会工作者可以通过使用动机面试 (MI) 技术来改善慢性疾病管理. 这种方法有助于患者在不同阶段的变化中导航行为变化,以更好地自我管理.
科学领域:
- 公共卫生 公共卫生
- 行为健康 行为健康
- 社会工作实践 社会工作实践
背景情况:
- 美国慢性健康状况的患病率不断上升,导致严重的死亡率,残疾和医疗保健费用.
- 社会工作者在支持患有慢性疾病的患者方面发挥着关键作用,特别是在管理必要的行为改变方面.
- 需要有效的干预措施来加强慢性护理管理 (CCM) 中的患者自我管理.
研究的目的:
- 探索动机面试 (MI) 在社会工作者变化阶段模型中的应用.
- 为社会工作者提供帮助患者自我管理慢性健康状况的策略.
- 在慢性护理管理的背景下,增强对患者动机的理解.
主要方法:
- 使用动机面试 (MI),这是一个以证据为基础的实践,重点关注患者关于变化的语言.
- 将MI原则与变化阶段模型 (超理论模型) 结合起来.
- 概述了社会工作者在不同变化阶段解决患者动机的具体策略.
主要成果:
- 展示了社会工作者如何有效地应用MI来支持CCM患者的行为健康变化.
- 在整个变化过程中提供了一个理解和干预患者动机的框架.
- 通过定制的社会工作干预措施,突出了改善患者自我管理结果的潜力.
结论:
- 激励面试,结合阶段变化模型,为社会工作者在慢性疾病管理中提供了有价值的方法.
- 通过有效地解决动机问题,社会工作者可以显著影响患者的自我管理.
- 这种综合方法支持患者实现持续的行为改变,以获得更好的健康结果.
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