Objective: To analyze the impact of motivational nursing under the solution-focused approach on health behaviors in surgical care for bladder cancer patients. Methods: A sample of 72 bladder cancer patients who underw...Objective: To analyze the impact of motivational nursing under the solution-focused approach on health behaviors in surgical care for bladder cancer patients. Methods: A sample of 72 bladder cancer patients who underwent surgical treatment from September 2024 to September 2025 was randomly divided into groups using a random number table. Group A received motivational nursing under the solution-focused approach, while Group B received conventional nursing. Health behavior scores and complication indicators were compared between the two groups. Results: Group A had higher scores on the Health-Promoting Lifestyle Profile II (HPLP-Ⅱ) than Group B, with p < 0.05. The postoperative complication rate in Group A was lower than that in Group B, with p < 0.05. Conclusion: For bladder cancer patients undergoing surgery, receiving motivational nursing under the solution-focused approach can improve health behaviors, alleviate negative emotions, and is highly feasible and effective.展开更多
This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients f...This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.展开更多
BACKGROUND The coexistence of rheumatological and immunological diseases with nephropathy presents considerable clinical challenges.These challenges often result in heightened anxiety and depression,which detrimentall...BACKGROUND The coexistence of rheumatological and immunological diseases with nephropathy presents considerable clinical challenges.These challenges often result in heightened anxiety and depression,which detrimentally affect patient outcomes.Motivational psychological nursing,which incorporates motivational interview and cognitive-behavioral therapy,may offer a promising approach to address these psychological concerns.AIM To evaluate the effectiveness of motivational psychological nursing in the reduction of anxiety and depression and improvement of the quality of life of patients with rheumatological and immunological diseases complicated by nephropathy.METHODS We conducted a retrospective cohort study involving 206 patients with rheumatological and immunological diseases complicated by nephropathy and who were treated between January 2021 and January 2025.The inclusion criteria were as follows:Aged 18-75 years,met the diagnostic criteria for rheumatological and immunological diseases with a renal biopsy classification above type II,hospitalized in our facility,received consistent basic nursing care,and had complete clinical data available.Participants allotted to the observation group(n=102)receiving motivational psychological nursing,and those in the control group(n=104)received standard care.Psychological status was assessed using Self-Rating Anxiety Scale(SAS),Beck Anxiety Inventory,Hamilton Anxiety Rating Scale,Self-Rating Depression Scale(SDS),Patient Health Questionnaire-9,and other standardized measures.Intervention lasted throughout hospitalization,with follow-up assessments conducted before discharge.RESULTS Pre-intervention,anxiety,and depression scores were similar across groups.Postintervention,the observation group showed significant reductions in anxiety(SAS:44.53±6.72 vs 46.79±6.94;P=0.018)and depression(SDS:45.20±5.07 vs 46.97±5.25;P=0.014)compared with the control group.General self-efficacy(P=0.044),healthrelated quality of life(P=0.044),and World Health Organization Quality of Life(P=0.040)scores also revealed significant improvement.CONCLUSION Motivational psychological nursing considerably reduces anxiety and depression in patients with rheumatological and immunological diseases complicated by nephropathy,which enhances the overall quality of life.展开更多
[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after a...[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.展开更多
BACKGROUND Enhancing postoperative recovery is a critical goal in clinical practice and the application of innovative nursing models can significantly contribute to this objective.AIM To investigate the effects of mot...BACKGROUND Enhancing postoperative recovery is a critical goal in clinical practice and the application of innovative nursing models can significantly contribute to this objective.AIM To investigate the effects of motivational and early warning nursing interventions on wound healing and sociopsychological adaptability in patients undergoing hepatobiliary surgery.METHODS A total of 160 patients who underwent surgical treatment in the hepatobiliary department of our hospital from January 2022 to June 2024 were selected and randomly divided into a control group and an observation group,with 80 patients in each group.The control group received routine nursing care,while the observation group received a combination of motivational and early warning nursing interventions.The wound healing status(class A,B,and C wound healing and healing time),social psychological adaptability,complications,postoperative recovery,and quality of life were compared between the two groups.RESULTS The wound healing rate in the observation group was higher than that in the control group,while the wound healing time was shorter(P<0.05).The social adaptability scores in the observation group were higher than those in the control group(P<0.05).The incidence of complications was lower in the observation group than in the control group(P<0.05).Postoperative recovery and quality of life were better in the observation group than in the control group(P<0.05).CONCLUSION Motivational and early warning nursing interventions are beneficial for promoting wound healing in patients undergoing hepatobiliary surgery,reducing the incidence of complications and improving socio-psychological adaptability and postoperative quality of life.These interventions should be promoted in clinical nursing practice.展开更多
Second language(L2)motivation has been a topic which receives intensive attention.However,the peer effect on L2 motivation is insufficiently researched,although it is considered a crucial factor which may significantl...Second language(L2)motivation has been a topic which receives intensive attention.However,the peer effect on L2 motivation is insufficiently researched,although it is considered a crucial factor which may significantly mediate learners’L2 motivation.Hence,the current study adopted Dörnyei’s L2 Motivational Self System(L2MSS)as a theoretical framework and investigated in which specific aspects peers might affect the learners’L2 motivation and whether such effect was long-lasting.The research was designed as a small-scale qualitative study which was located in a language-focused experimental class project in China.Ten participants were recruited and individual interviews were conducted.The results demonstrated that,first,peers could remarkably influence the L2 motivation possessed by the students in the experimental class since they tended to create a clearer ideal L2 self and a more powerful ought-to L2 self.Second,although they had both positive and negative views towards the curriculum,a motivated peer climate could alleviate the pressure caused by the curriculum and reinforce positive attitudes.Third,such peer effect was not long-lasting.Based on the research results,pedagogical implications were proposed in terms of establishing a positive peer group and adjusting the emphasis of the curriculum.展开更多
BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the w...BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.展开更多
Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure ...Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.展开更多
BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharg...BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reduction in anxiety scores,depression scores,and PTSD scores following the implementation of these two nursing models.However,it is noteworthy that the experimental group exhibited greater improvements compared to the control group.CONCLUSION Our findings suggest that CICARE communication nursing mode may have good influence on relieving PICS.展开更多
Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.De...Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.展开更多
Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effec...Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effects of MI on self-management and HbA1c levels in patients with type 2 diabetes were systematically reviewed using multiple electronic databases.Weighted mean differences with 95%confidence intervals were calculated for continuous data.Results:Ten trials were included in this meta-analysis.The self-management ability of patients with type 2 diabetes who underwent MI was significantly better than that of patients in the control group(WMD,2.37;95%CI,1.77e2.98;p<0.00001).Subgroup analysis showed that short-term MI(6 months)resulted in a significant decrease in the HbA1c level(p<0.05)but that this advantage was not present for relatively long-term MI(>6 months)(p>0.05).Conclusions:MI was associated with improved self-management abilities among patients with type 2 diabetes,and short-term MI(6 months)effectively decreased the HbA1c level.The effect of long-term MI(>6 months)on the HbA1c level remains uncertain.Large-scale,higher-quality randomised controlled trials are needed to confirm the present findings.展开更多
Professor Zoltán D?rnyei is an influential researcher of L2 learning motivation. Since 1990 s, he put forward several important L2 learning motivational theories and made special contribution to this field. This ...Professor Zoltán D?rnyei is an influential researcher of L2 learning motivation. Since 1990 s, he put forward several important L2 learning motivational theories and made special contribution to this field. This paper introduces his four L2 learning motivational theories: 1)Three-level framework of L2 motivation; 2) Process model of L2 motivation; 3)The L2 Motivational Self System; 4) Directed Motivational Currents(DMC).展开更多
Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more oft...Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more often than not,reduce their learning interest and eventually affect their learning effect,therefore,it is necessary to enhance the learners’motivation level.This article first reviews the research literature in motivation in general,then discusses the CSL learners’demotivation in their Chinses learning process studying in China.Finally,it introduces motivational strategies to activate CSL learners’motivation in learning Chinese.展开更多
A survey carried out among 286 left-behind children in a middle school through the lens of L2 Motivational Self System presents that although left-behind children possess low level of English learning motivation,they ...A survey carried out among 286 left-behind children in a middle school through the lens of L2 Motivational Self System presents that although left-behind children possess low level of English learning motivation,they are favorably disposed towards studying English.Among the three dimensions of L2 Motivational Self System in this survey,L2 Learning Experience influences English learning motivation of left-behind children most and Ideal L2 Self with Ought-to L2 Self ranks the second in affecting their motivation.Practicalimplications are also provided.展开更多
This quantitative-oriented study investigates junior middle school EFL teachers’beliefs about motivational practices in the language teaching process.Grounded in self-determination theory,the study examined teachers...This quantitative-oriented study investigates junior middle school EFL teachers’beliefs about motivational practices in the language teaching process.Grounded in self-determination theory,the study examined teachers’beliefs in three basic psychological needs(relatedness,competence and autonomy)and the effect of their teaching experience on these beliefs.Data were obtained from 84 Chinese junior middle school English teachers through a questionnaire.Results suggested that teachers recognized motivational practices for relatedness and competence satisfaction while showing relatively low recognition of a few motivating practices for autonomy satisfaction.Teaching experience was found to have no influence on teachers’conception of needs-related motivational practices.Findings reveal that traditional activities like collective lesson preparations may have a negative influence on teachers’beliefs about motivational practices.They also present the necessity for adjustments on educational regulations,and for modern professional training to help teachers understand students’basic psychological needs,and to encourage new ideas to bolster students’intrinsic motivation for language learning.展开更多
BACKGROUND Percutaneous coronary intervention(PCI)is one of the main treatment methods for myocardial infarction(MI).Despite its positive effects,patients often experience different degrees of anxiety and depression a...BACKGROUND Percutaneous coronary intervention(PCI)is one of the main treatment methods for myocardial infarction(MI).Despite its positive effects,patients often experience different degrees of anxiety and depression after the intervention.Therefore,effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.AIM To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.METHODS We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI.They were divided into observation and control groups according to the random throwing method.The observation group consisted of 43 patients undergoing music therapy and motivational interviewing,and the control group(43 cases)underwent music therapy and conventional communication.The two groups were then compared on mood status[Chinese Brief Mood Status Scale(POMS)],coping methods[Medical Coping Methods Questionnaire(MCMQ)Chinese version],and healthy lifestyle behaviors[Heart Health Self-Efficacy and Self-Management(HH-SESM)scale].RESULTS Two weeks post-intervention,the observation group had lower POMS scores,improved MCMQ scores,and higher HH-SESM scores than the control group(P<0.05).CONCLUSION The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood,reduce anxiety and depression symptoms,and stimulate patients to actively face their condition.It also encourages the formation of healthy behavioral habits.展开更多
This paper aims at demonstrating what is motivational comments from teachers which can motivate students to participate in classroom activities and showing patterns of feedback occurring in real classroom teacher-stud...This paper aims at demonstrating what is motivational comments from teachers which can motivate students to participate in classroom activities and showing patterns of feedback occurring in real classroom teacher-student interaction by doing a case study of episodes of teacher＇s feedback in an English class.展开更多
Following Dornyei and Csize r＇s （1998） theoretical hamework of motivational strategies in the L2 classroom, this paper, through a case study, looks into the common use of motivational strategies in Chinese middle s...Following Dornyei and Csize r＇s （1998） theoretical hamework of motivational strategies in the L2 classroom, this paper, through a case study, looks into the common use of motivational strategies in Chinese middle school EFL classroom.展开更多
文摘Objective: To analyze the impact of motivational nursing under the solution-focused approach on health behaviors in surgical care for bladder cancer patients. Methods: A sample of 72 bladder cancer patients who underwent surgical treatment from September 2024 to September 2025 was randomly divided into groups using a random number table. Group A received motivational nursing under the solution-focused approach, while Group B received conventional nursing. Health behavior scores and complication indicators were compared between the two groups. Results: Group A had higher scores on the Health-Promoting Lifestyle Profile II (HPLP-Ⅱ) than Group B, with p < 0.05. The postoperative complication rate in Group A was lower than that in Group B, with p < 0.05. Conclusion: For bladder cancer patients undergoing surgery, receiving motivational nursing under the solution-focused approach can improve health behaviors, alleviate negative emotions, and is highly feasible and effective.
文摘This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.
文摘BACKGROUND The coexistence of rheumatological and immunological diseases with nephropathy presents considerable clinical challenges.These challenges often result in heightened anxiety and depression,which detrimentally affect patient outcomes.Motivational psychological nursing,which incorporates motivational interview and cognitive-behavioral therapy,may offer a promising approach to address these psychological concerns.AIM To evaluate the effectiveness of motivational psychological nursing in the reduction of anxiety and depression and improvement of the quality of life of patients with rheumatological and immunological diseases complicated by nephropathy.METHODS We conducted a retrospective cohort study involving 206 patients with rheumatological and immunological diseases complicated by nephropathy and who were treated between January 2021 and January 2025.The inclusion criteria were as follows:Aged 18-75 years,met the diagnostic criteria for rheumatological and immunological diseases with a renal biopsy classification above type II,hospitalized in our facility,received consistent basic nursing care,and had complete clinical data available.Participants allotted to the observation group(n=102)receiving motivational psychological nursing,and those in the control group(n=104)received standard care.Psychological status was assessed using Self-Rating Anxiety Scale(SAS),Beck Anxiety Inventory,Hamilton Anxiety Rating Scale,Self-Rating Depression Scale(SDS),Patient Health Questionnaire-9,and other standardized measures.Intervention lasted throughout hospitalization,with follow-up assessments conducted before discharge.RESULTS Pre-intervention,anxiety,and depression scores were similar across groups.Postintervention,the observation group showed significant reductions in anxiety(SAS:44.53±6.72 vs 46.79±6.94;P=0.018)and depression(SDS:45.20±5.07 vs 46.97±5.25;P=0.014)compared with the control group.General self-efficacy(P=0.044),healthrelated quality of life(P=0.044),and World Health Organization Quality of Life(P=0.040)scores also revealed significant improvement.CONCLUSION Motivational psychological nursing considerably reduces anxiety and depression in patients with rheumatological and immunological diseases complicated by nephropathy,which enhances the overall quality of life.
基金Supported by 2023 Shiyan Taihe Hospital Fund Project(2023JJXM024).
文摘[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.
文摘BACKGROUND Enhancing postoperative recovery is a critical goal in clinical practice and the application of innovative nursing models can significantly contribute to this objective.AIM To investigate the effects of motivational and early warning nursing interventions on wound healing and sociopsychological adaptability in patients undergoing hepatobiliary surgery.METHODS A total of 160 patients who underwent surgical treatment in the hepatobiliary department of our hospital from January 2022 to June 2024 were selected and randomly divided into a control group and an observation group,with 80 patients in each group.The control group received routine nursing care,while the observation group received a combination of motivational and early warning nursing interventions.The wound healing status(class A,B,and C wound healing and healing time),social psychological adaptability,complications,postoperative recovery,and quality of life were compared between the two groups.RESULTS The wound healing rate in the observation group was higher than that in the control group,while the wound healing time was shorter(P<0.05).The social adaptability scores in the observation group were higher than those in the control group(P<0.05).The incidence of complications was lower in the observation group than in the control group(P<0.05).Postoperative recovery and quality of life were better in the observation group than in the control group(P<0.05).CONCLUSION Motivational and early warning nursing interventions are beneficial for promoting wound healing in patients undergoing hepatobiliary surgery,reducing the incidence of complications and improving socio-psychological adaptability and postoperative quality of life.These interventions should be promoted in clinical nursing practice.
文摘Second language(L2)motivation has been a topic which receives intensive attention.However,the peer effect on L2 motivation is insufficiently researched,although it is considered a crucial factor which may significantly mediate learners’L2 motivation.Hence,the current study adopted Dörnyei’s L2 Motivational Self System(L2MSS)as a theoretical framework and investigated in which specific aspects peers might affect the learners’L2 motivation and whether such effect was long-lasting.The research was designed as a small-scale qualitative study which was located in a language-focused experimental class project in China.Ten participants were recruited and individual interviews were conducted.The results demonstrated that,first,peers could remarkably influence the L2 motivation possessed by the students in the experimental class since they tended to create a clearer ideal L2 self and a more powerful ought-to L2 self.Second,although they had both positive and negative views towards the curriculum,a motivated peer climate could alleviate the pressure caused by the curriculum and reinforce positive attitudes.Third,such peer effect was not long-lasting.Based on the research results,pedagogical implications were proposed in terms of establishing a positive peer group and adjusting the emphasis of the curriculum.
基金Supported by the School of Nursing Research Project at China Medical University,No.2017HL-21.
文摘BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.
文摘Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.
文摘BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reduction in anxiety scores,depression scores,and PTSD scores following the implementation of these two nursing models.However,it is noteworthy that the experimental group exhibited greater improvements compared to the control group.CONCLUSION Our findings suggest that CICARE communication nursing mode may have good influence on relieving PICS.
文摘Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.
文摘Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effects of MI on self-management and HbA1c levels in patients with type 2 diabetes were systematically reviewed using multiple electronic databases.Weighted mean differences with 95%confidence intervals were calculated for continuous data.Results:Ten trials were included in this meta-analysis.The self-management ability of patients with type 2 diabetes who underwent MI was significantly better than that of patients in the control group(WMD,2.37;95%CI,1.77e2.98;p<0.00001).Subgroup analysis showed that short-term MI(6 months)resulted in a significant decrease in the HbA1c level(p<0.05)but that this advantage was not present for relatively long-term MI(>6 months)(p>0.05).Conclusions:MI was associated with improved self-management abilities among patients with type 2 diabetes,and short-term MI(6 months)effectively decreased the HbA1c level.The effect of long-term MI(>6 months)on the HbA1c level remains uncertain.Large-scale,higher-quality randomised controlled trials are needed to confirm the present findings.
文摘Professor Zoltán D?rnyei is an influential researcher of L2 learning motivation. Since 1990 s, he put forward several important L2 learning motivational theories and made special contribution to this field. This paper introduces his four L2 learning motivational theories: 1)Three-level framework of L2 motivation; 2) Process model of L2 motivation; 3)The L2 Motivational Self System; 4) Directed Motivational Currents(DMC).
基金This article is supported by the following projects:A Study on Individual Differences in Chinese Learning Needs and the Effect of Chinese Learning of International Students in Anhui Province(Grant No.SK2020A0034)A Study on the Effective Input and Output of Multimodal Synergy in College English Audio-video Classroom(Grant No.acjyyb2022078).
文摘Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more often than not,reduce their learning interest and eventually affect their learning effect,therefore,it is necessary to enhance the learners’motivation level.This article first reviews the research literature in motivation in general,then discusses the CSL learners’demotivation in their Chinses learning process studying in China.Finally,it introduces motivational strategies to activate CSL learners’motivation in learning Chinese.
文摘A survey carried out among 286 left-behind children in a middle school through the lens of L2 Motivational Self System presents that although left-behind children possess low level of English learning motivation,they are favorably disposed towards studying English.Among the three dimensions of L2 Motivational Self System in this survey,L2 Learning Experience influences English learning motivation of left-behind children most and Ideal L2 Self with Ought-to L2 Self ranks the second in affecting their motivation.Practicalimplications are also provided.
文摘This quantitative-oriented study investigates junior middle school EFL teachers’beliefs about motivational practices in the language teaching process.Grounded in self-determination theory,the study examined teachers’beliefs in three basic psychological needs(relatedness,competence and autonomy)and the effect of their teaching experience on these beliefs.Data were obtained from 84 Chinese junior middle school English teachers through a questionnaire.Results suggested that teachers recognized motivational practices for relatedness and competence satisfaction while showing relatively low recognition of a few motivating practices for autonomy satisfaction.Teaching experience was found to have no influence on teachers’conception of needs-related motivational practices.Findings reveal that traditional activities like collective lesson preparations may have a negative influence on teachers’beliefs about motivational practices.They also present the necessity for adjustments on educational regulations,and for modern professional training to help teachers understand students’basic psychological needs,and to encourage new ideas to bolster students’intrinsic motivation for language learning.
文摘BACKGROUND Percutaneous coronary intervention(PCI)is one of the main treatment methods for myocardial infarction(MI).Despite its positive effects,patients often experience different degrees of anxiety and depression after the intervention.Therefore,effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.AIM To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.METHODS We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI.They were divided into observation and control groups according to the random throwing method.The observation group consisted of 43 patients undergoing music therapy and motivational interviewing,and the control group(43 cases)underwent music therapy and conventional communication.The two groups were then compared on mood status[Chinese Brief Mood Status Scale(POMS)],coping methods[Medical Coping Methods Questionnaire(MCMQ)Chinese version],and healthy lifestyle behaviors[Heart Health Self-Efficacy and Self-Management(HH-SESM)scale].RESULTS Two weeks post-intervention,the observation group had lower POMS scores,improved MCMQ scores,and higher HH-SESM scores than the control group(P<0.05).CONCLUSION The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood,reduce anxiety and depression symptoms,and stimulate patients to actively face their condition.It also encourages the formation of healthy behavioral habits.
文摘This paper aims at demonstrating what is motivational comments from teachers which can motivate students to participate in classroom activities and showing patterns of feedback occurring in real classroom teacher-student interaction by doing a case study of episodes of teacher＇s feedback in an English class.
文摘Following Dornyei and Csize r＇s （1998） theoretical hamework of motivational strategies in the L2 classroom, this paper, through a case study, looks into the common use of motivational strategies in Chinese middle school EFL classroom.
