The Effect of the Motivational Interviewing on the Lifestyle, Body Mass Index, Blood Pressure, Self-Efficacy Perception and Medication Adherence of Hypertensive Individuals

Year 2020, Volume: 7 Issue: 2, 149 - 160, 03.07.2020

Funda Özpulat Oya Nuran Emiroğlu

https://doi.org/10.31125/hunhemsire.763174

Cited By: 2

Abstract

Aim: This study aims to analyze the effect of motivational interviewing on the lifestyle, blood pressure, body mass index, selfefficacy perception, and medication adherence of hypertensive individuals.
Material and Methods: This study was conducted with hypertensive individuals between the ages of 25 and 45 registered in seven Family Health Centers in Akşehir, Konya. Inclusion in the present study was voluntary, and 80 people who agreed to participate were randomized into two groups as experimental and control groups. However, the present study was completed with 75 participants. Both groups were administered the pre-test, then the experimental group was visited for a total of 5 times: four visits at three-week intervals and one visit after one month. In each visit, a 30 to 45 minute individual motivational interviewing was carried out. The study was completed by administering the last-test to both groups. The study was conducted between February 6 and June 24, 2014, and the data were analyzed using the SPSS 17.0 package.
Results: Statistically significant differences were found between the pre-test and last-test scores of the experimental group in terms of Blood Pressure, Body Mass Index, the Medication Adherence SelfEfficacy Scale, and the General Self-Efficacy Scale.
Conclusion: Motivational interviewing can be used in ensuring healthy nutrition and regulation of exercise level and blood pressure of hypertensive individuals, and in increasing their selfefficacy and treatment adherence. 

Keywords

Hypertensive individuals, lifestyle, medication adherence, motivational interviewing, self-efficacy

Motivasyonel Görüşmenin Hipertansif Bireylerin Yaşam Tarzı, Vücut Kitle İndeksi, Kan Basıncı, Özyeterlilik Algısı ve İlaç Tedavisi Uyumuna Etkisi

Abstract

Amaç: Bu çalışmada, motivasyonel görüşmenin yaşam tarzı, kan basıncı, beden kitle indeksi, öz yeterlik algısı ve hipertansif bireylerin ilaç uyumu üzerindeki etkisi incelenmiştir.
Gereç ve Yöntem: Bu çalışma, Konya Akşehir'de bulunan yedi Aile Sağlığı Merkezinde kayıtlı 25 ve 45 yaşları arasındaki hipertansif bireylerle yapılmıştır. Çalışmaya katılım isteğe bağlı tutulmuş ve katılmayı kabul eden 80 kişi randomize olarak deney ve kontrol gruplarına ayrılmıştır. Ancak çalışma 75 katılımcıyla tamamlanmıştır. Her iki gruba ön test uygulanmış, sonra deney grubu üç haftalık aralıklarla dört ziyaret ve bir ay sonra bir ziyaret olarak toplam 5 kez ziyaret edilmiştir. Her ziyarette, 30 ila 45 dakikalık bireysel motivasyonel görüşme yapılmıştır. Çalışma, her iki gruba da son test uygulanarak tamamlanmıştır. Çalışma 6 Şubat - 24 Haziran 2014 tarihleri arasında gerçekleştirilmiş ve veriler SPSS 17.0 paketi kullanılarak analiz edilmiştir.
Bulgular: Deney grubunun ön test puanları ile son test puanları arasında; Kan Basıncı, Beden Kitle İndeksi, İlaç Tedavisine Uyum Öz Yeterlilik Ölçeği ve Genel Öz Yeterlilik Ölçeği açısından istatistiksel olarak anlamlı fark bulunmuştur.
Sonuç: Motivasyonel görüşme, hipertansif bireylerin sağlıklı beslenmesinin sağlanmasında, egzersiz seviyesi ve kan basıncının düzenlenmesinde, öz yeterliliğin ve tedavi uyumunun arttırılmasında kullanılabilir.

Keywords

Hipertansif bireyler, yaşam tarzı, ilaç uyumu, motivasyonel görüşme, öz yeterlilik

References

• 1. Singh S, Shankar R, Singh GP. Prevalence and associated risk factors of hypertension: a cross-sectional study in urban Varanasi. Int J Hypertens. 2017;2017:5491838.
• 2. Dinesh N, McLachlan CS, Mishra SR, Olsen MH, Perry HB, Karki A, et al. Effectiveness of a lifestyle intervention led by female community health volunteers versus usual care in blood pressure reduction (COBIN): an open-label, cluster-randomised trial. Lancet Glob Health. 2018;6:66–73.
• 3. Durand H, Hayes P, Morrissey EC, Newell J, Casey M, Murphy AW, et al. Medication adherence among patients with apparent treatment-resistant hypertension: systematic review and meta-analysis. J Hypertens. 2017;35(12):2346-57.
• 4. Silveira LCJ, Aliti GB, Da Silva EM, Pimentel RP, Gus M, Rabelo-Silva ER. Effect of motivational interviewing in hypertensive patients (MIdNIgHT): study protocol for a randomized controlled trial. Trials. 2019;20(1):414.
• 5. Piercefield EW, Howard ME, Robinson MH, Kirk CE, Ragan AP, Reese SD. Antihypertensive medication adherence and blood pressure control among central Alabama veterans. J Clin Hypertens (Greenwich). 2017;19(5):543-9.
• 6. Mıller WR, Rollnick S. Motivasyonel interviewing. (Karadağ F, Ögel K, Özcan A.E. eds), HYB Printed Publications. Ankara;2009.
• 7. Carr DD. Motivational ınterviewing supports patient centered-care and communication. JNY State Nurses Assoc. 2016;45(1):39-43.
• 8. Chlebowy DO, El-Mallakh P, Myers J, Kubiak N, Cloud R, Wall MP. Motivational ınterviewing to ımprove diabetes outcomes in African Americans adults with diabetes. West J Nurs Res. 2015;37(5):566-80.
• 9. Masterson Creber R, Patey M, Lee CS, Kuan A, Jurgens C, Riegel B. Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial. Patient Educ Couns. 2016;99(2):256-64.