激励面试对改善中风患者自我效能的有效性:职业治疗随机对照试验研究
Sina Gholipour1, Nazila Akbarfahimi1, Leeba Rezaie2
1Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
激励面试 (MI) 没有改善中风患者的自我效能. 然而,这种干预显著提高了功能独立性和下肢恢复,这表明它对职业治疗师在中风康复中的价值.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 自我有效性是成功康复结果的关键预测因素.
- 卒中患者经常遇到自我效能方面的挑战,影响恢复.
- 激励面试 (MI) 是一种旨在增强内在动机的治疗方法.
研究的目的:
- 调查激励面试 (MI) 对中风患者自我有效性的影响.
- 评估MI是否改善中风幸存者的一般自我效能,生活质量以及上肢和下肢恢复.
主要方法:
- 在34名中风患者中进行了一项单盲随机对照试验.
- 干预组 (n=17) 接受了通常的职业疗法加上四周的每周MI会话.
- 对照组 (n=17) 仅接受了通常的职业治疗. 干预前后进行评估 (8周后MI停止).
主要成果:
- 在任何一组中都没有观察到一般自我效能,生活质量或上肢恢复的显著改善.
- 干预组在功能独立性得分上显示出显著的改善 (p=0.001).
- 与对照组相比,干预组在下肢恢复得分上也显著改善 (p=0.003).
结论:
- 激励面试 (MI) 在中风患者中没有显著提高自我效能.
- 将MI纳入职业疗法显示出在中风康复中改善功能独立性和下肢恢复的潜力.
- 职业治疗师可以从整合MI技术中获益,以优化患者的康复结果.
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