Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease.

Purpose: This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the litera...

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Publicado en:Journal of Korean Academy of Nursing Vol. 53; no. 2; pp. 191 - 208
Autores principales: Jang Jun Hee, Min Hye Sook
Formato: clinical trial research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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        20053673
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      dt: Apr2023
      vid: 53
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      pub: Korean Society of Nursing Science
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        10.4040/jkan.22093
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        atl: Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease.
      aug:
        au:
          Jang Jun Hee
          Min Hye Sook
        affil: Department of Nursing, Busan Health University, Busan
      sug:
        subj:
          Motivational Interviewing
          Rehabilitation, Pulmonary
          Program Development
          Program Evaluation
          Pulmonary Disease, Chronic Obstructive
          Psychological Theory
          Health Behavior
          Quasi-Experimental Studies
          Human
          Outpatients
          Hospitals South Korea
          South Korea
          Human Needs (Psychology)
          Dyspnea
          Exercise
          Functional Status
          Nursing Interventions
          Male
          Female
          Middle Age
          Aged
          Walking
          Descriptive Statistics
          Clinical Trials
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated- measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status. Conclusion: The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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