Patients' experiences of lifestyle discussions based on motivational interviewing: A qualitative study

被引：13

作者：

Brobeck E. ^{[1
,2
]}

Odencrants S. ^{[2
]}

Bergh H. ^{[3
]}

Hildingh C. ^{[4
]}

机构：

[1] Department of Research, Development and Education, Halmstad

[2] School of Health and Medical Sciences Örebro University, Örebro

[3] Department of Research, Development and Education, Varberg

[4] School of Social and Health Sciences, Halmstad University, Halmstad

来源：

BMC Nursing | / 13卷 / 1期

关键词：

Content analysis; Lifestyle discussion; Motivational interviewing; Nurse; Patient experiences; Primary health care;

D O I：

10.1186/1472-6955-13-13

中图分类号：

学科分类号：

摘要：

Background: According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help in monitoring themselves to make the proper lifestyle changes and it is important that adequate support is provided to enable the patients to take control over their health. Motivational interviewing is a framework that can help to facilitate this movement. The aim of this study was to describe how patients in primary health care settings experience lifestyle discussions based on motivational interviewing. Methods: This study has a descriptive design and qualitative content analysis was used as the method. Sixteen patients who had each visited a registered nurse for lifestyle discussions were interviewed. Results: The results show that the lifestyle discussions could enable self-determination in the process of lifestyle change but that certain conditions were required. Mutual interaction between the patient and the nurse that contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was encouraged, the discussion could contribute to change. The patient's free will to make a lifestyle change and the nurse's sensitivity in the discussions created fertile soil for change. Conclusions: This study focuses on MI-based discussions, and the result shows that a subset of patients, who self-reported that they are motivated and aware of their role in making lifestyle changes, appreciate these strategies. However, it is not known whether discussions would be experienced in the same way if RNs used another method or if patients who were less motivated, engaged, or aware of their role in making lifestyle changes were interviewed. © 2014 Brobeck et al.; licensee BioMed Central Ltd.

引用

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