Motivational interviewing and its application in the management of coronary heart disease
作者机构：Department of CardiologyThe First Hospital of Xi’an Jiaotong UniversityXi’an City of Shannxi Province710061China Faculty of MedicineSchool of Primary Health CareNursing and Health SciencesMonash UniversityVictoria 3165Australia
出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)
年 卷 期：2013年第1卷第3期
页 面：48-54页
学科分类：0502[文学-外国语言文学] 050201[文学-英语语言文学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 05[文学]
基 金：This research received no specific grant from any funding agency in the public commercial or not-for-profit sectors.
主 题：Motivational interviewing Coronary heart disease Psychological approach Behavior change Self-management
摘 要：Objective:This review paper explores the concept,spirit,principles,and core skills of moti-vational interviewing(MI)as a psychological approach applied to CHD patients.Methods:Literature reviews based on English and Chinese articles.Results:The English and Chinese literature provided strong evidence for the effectiveness of MI in terms of behavior changes,blood pressure control,hyperglycemia and hyperlipidemia control,compliance improvement,and improving quality of life amongst chronic heart failure patients.The Happy Life Club(HLC)is the only randomized controlled trial(RCT)that examined the effects of MI on behavior changes and self-management improvements in Chinese patients with type 2 diabetes mellitus.The HLC pilot revealed positive outcomes,and RCTs will provide further evidence.Conclusion:MI has been expanded in its application to a wider range of lifestyle-related chronic diseases,including CHD.At the time of this review,MI represents a new concept and ap-proach in China for improving physical and mental health(body and mind)in patients with CHD.In order to integrate MI into medical practice,the authors suggest improving the medical education curriculum and strengthening vocational training,while conducting further research initiatives to assess the innovation and inform practice management.
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