{"title":"基于跨理论模型的动机访谈对血液透析患者自我效能感和治疗依从性的影响","authors":"Hüseyin Çapuk, Rukuye Aylaz","doi":"10.1111/jep.70152","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim(s)</h3>\n \n <p>The aim of this study was to evaluate the impact of Transtheoretical Model-based Motivational Interviewing on self-efficacy and illness adjustment in hemodialysis patients.</p>\n </section>\n \n <section>\n \n <h3> Background</h3>\n \n <p>Hemodialysis patients often face challenges in adhering to dietary, fluid, and medication guidelines due to the lengthy nature of the dialysis sessions and various associated restrictions.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study was conducted between June 2022 and March 2023 at hemodialysis centers in eastern Turkey. It included 30 patients in the experimental group and 30 in the control group. The experimental group received six sessions of Transtheoretical Model-based motivational interviewing, while the control group received no intervention. This pretest-posttest randomized controlled trial was registered in the Clinical Trials Registry (NCT06706843).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The results indicated a significant improvement in GSES scores. A significant difference was found between the groups in pre-test scores (<i>p</i> < 0.05), and a statistically significant difference was also observed in Posttest scores (<i>p</i> < 0.05). Within-group comparisons revealed significant differences between pretest and posttest scores for the experimental group (<i>p</i> < 0.05). There was a significant difference between pre-test and Posttest scores in the control group (<i>p</i> < 0.05). In the SDBM-NOS showed a significant difference between the experimental and control groups in the dietary adherence subscale at Posttest (<i>p</i> < 0.05), but no significant difference was found in the other subscales. In the experimental group, a significant improvement was observed between pre-test and Posttest in terms of total ESRD-AS score, fluid compliance and dietary compliance (<i>p</i> < 0.05). In the control group, no significant difference was found for any variable (<i>p</i> > 0.05). A significant negative correlation was found between GSES and ESRD-AS.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>In conclusion, Transtheoretical Model-based Motivational Interviewing was found to significantly improve treatment adherence and self-efficacy in chronic hemodialysis patients, contributing to better illness adjustment.</p>\n \n <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06706843.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70152","citationCount":"0","resultStr":"{\"title\":\"The Impact of Transtheoretical Model-Based Motivational Interviewing on Self-Efficacy and Adherence to Treatment in Hemodialysis Patients\",\"authors\":\"Hüseyin Çapuk, Rukuye Aylaz\",\"doi\":\"10.1111/jep.70152\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim(s)</h3>\\n \\n <p>The aim of this study was to evaluate the impact of Transtheoretical Model-based Motivational Interviewing on self-efficacy and illness adjustment in hemodialysis patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Hemodialysis patients often face challenges in adhering to dietary, fluid, and medication guidelines due to the lengthy nature of the dialysis sessions and various associated restrictions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This study was conducted between June 2022 and March 2023 at hemodialysis centers in eastern Turkey. It included 30 patients in the experimental group and 30 in the control group. The experimental group received six sessions of Transtheoretical Model-based motivational interviewing, while the control group received no intervention. This pretest-posttest randomized controlled trial was registered in the Clinical Trials Registry (NCT06706843).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The results indicated a significant improvement in GSES scores. A significant difference was found between the groups in pre-test scores (<i>p</i> < 0.05), and a statistically significant difference was also observed in Posttest scores (<i>p</i> < 0.05). Within-group comparisons revealed significant differences between pretest and posttest scores for the experimental group (<i>p</i> < 0.05). There was a significant difference between pre-test and Posttest scores in the control group (<i>p</i> < 0.05). In the SDBM-NOS showed a significant difference between the experimental and control groups in the dietary adherence subscale at Posttest (<i>p</i> < 0.05), but no significant difference was found in the other subscales. In the experimental group, a significant improvement was observed between pre-test and Posttest in terms of total ESRD-AS score, fluid compliance and dietary compliance (<i>p</i> < 0.05). In the control group, no significant difference was found for any variable (<i>p</i> > 0.05). A significant negative correlation was found between GSES and ESRD-AS.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>In conclusion, Transtheoretical Model-based Motivational Interviewing was found to significantly improve treatment adherence and self-efficacy in chronic hemodialysis patients, contributing to better illness adjustment.</p>\\n \\n <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06706843.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15997,\"journal\":{\"name\":\"Journal of evaluation in clinical practice\",\"volume\":\"31 4\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-06-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70152\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of evaluation in clinical practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jep.70152\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70152","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
The Impact of Transtheoretical Model-Based Motivational Interviewing on Self-Efficacy and Adherence to Treatment in Hemodialysis Patients
Aim(s)
The aim of this study was to evaluate the impact of Transtheoretical Model-based Motivational Interviewing on self-efficacy and illness adjustment in hemodialysis patients.
Background
Hemodialysis patients often face challenges in adhering to dietary, fluid, and medication guidelines due to the lengthy nature of the dialysis sessions and various associated restrictions.
Methods
This study was conducted between June 2022 and March 2023 at hemodialysis centers in eastern Turkey. It included 30 patients in the experimental group and 30 in the control group. The experimental group received six sessions of Transtheoretical Model-based motivational interviewing, while the control group received no intervention. This pretest-posttest randomized controlled trial was registered in the Clinical Trials Registry (NCT06706843).
Results
The results indicated a significant improvement in GSES scores. A significant difference was found between the groups in pre-test scores (p < 0.05), and a statistically significant difference was also observed in Posttest scores (p < 0.05). Within-group comparisons revealed significant differences between pretest and posttest scores for the experimental group (p < 0.05). There was a significant difference between pre-test and Posttest scores in the control group (p < 0.05). In the SDBM-NOS showed a significant difference between the experimental and control groups in the dietary adherence subscale at Posttest (p < 0.05), but no significant difference was found in the other subscales. In the experimental group, a significant improvement was observed between pre-test and Posttest in terms of total ESRD-AS score, fluid compliance and dietary compliance (p < 0.05). In the control group, no significant difference was found for any variable (p > 0.05). A significant negative correlation was found between GSES and ESRD-AS.
Conclusion
In conclusion, Transtheoretical Model-based Motivational Interviewing was found to significantly improve treatment adherence and self-efficacy in chronic hemodialysis patients, contributing to better illness adjustment.
期刊介绍：
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
