KOREAN SOCIETYOF NURSING SCIENCE

KSNS All menu

Close
  • 홈
  • Journal
  • JKAN

JKAN

년도별 ‘권’과 ‘호’를 선택해 주세요 (SSN 1598-2874(38권 4호까지), ISSN 2005-3673(38권 5호부터)

본문
Subject Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease
Name : Jun Hee Jang, Hye Sook Min Date : 2023년 04월 Page : p191~p207
Name Jun Hee Jang, Hye Sook Min Date 2023년 04월 Page p191~p207 인쇄
File (05) JKAN22-093.pdf
Keyword Chronic Obstructive Pulmonary Disease; Rehabilitation; Motivation; Interview; Functional Status
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.