Ali Navidian1, Hajar Mobaraki2, Mansour Shakiba3. 1. Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: Iran.alinavidian@gmail.com. 2. Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: hajarmobaraki@yahoo.com. 3. Department of Psychiatry, Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: dr.mansoorshakiba2006@gmail.com.
Abstract
OBJECTIVE: To determine the effect of education based on motivational interviewing on self-care behaviors in heart failure patients with depression. METHODS: In this study, 82 patients suffering from heart failure whose depression had been confirmed were selected and divided into two groups. The Self-Care Heart Failure Index was utilized to evaluate self-care behavior. The intervention group received four sessions of self-care behavior education based on the principles of motivational interviewing, and the control group received four sessions of conventional education on self-care behavior. At 8 weeks after finishing the interventions, the self-care behaviors of both groups were evaluated. Data were analyzed using paired and independent t-tests, Chi-square, and analysis of covariance, as appropriate. RESULTS: The average increase in the overall scores and the scores on the three sub-scales of self-care behavior (maintenance, management, and confidence) of the heart failure patients with depression were significantly higher after education based on motivational interviewing than after conventional self-care education (p<0.05). CONCLUSIONS:Motivational interviewing had a significant positive effect on self-care behaviors in patients with heart failure and depression. PRACTICE IMPLICATIONS: Due to the effectiveness of the MI, using motivational interviewing for education in depressed HF patients is recommended.
RCT Entities:
OBJECTIVE: To determine the effect of education based on motivational interviewing on self-care behaviors in heart failurepatients with depression. METHODS: In this study, 82 patients suffering from heart failure whose depression had been confirmed were selected and divided into two groups. The Self-Care Heart Failure Index was utilized to evaluate self-care behavior. The intervention group received four sessions of self-care behavior education based on the principles of motivational interviewing, and the control group received four sessions of conventional education on self-care behavior. At 8 weeks after finishing the interventions, the self-care behaviors of both groups were evaluated. Data were analyzed using paired and independent t-tests, Chi-square, and analysis of covariance, as appropriate. RESULTS: The average increase in the overall scores and the scores on the three sub-scales of self-care behavior (maintenance, management, and confidence) of the heart failurepatients with depression were significantly higher after education based on motivational interviewing than after conventional self-care education (p<0.05). CONCLUSIONS: Motivational interviewing had a significant positive effect on self-care behaviors in patients with heart failure and depression. PRACTICE IMPLICATIONS: Due to the effectiveness of the MI, using motivational interviewing for education in depressed HFpatients is recommended.
Authors: Juliana de Melo Vellozo Pereira Tinoco; Lyvia da Silva Figueiredo; Paula Vanessa Peclat Flores; Bruna Lins Rocha de Padua; Evandro Tinoco Mesquita; Ana Carla Dantas Cavalcanti Journal: Rev Lat Am Enfermagem Date: 2021-07-19