Journal of nursing management · 2025
Effects of Psychological Empowerment-Based Motivational Interviewing Program on Self-Management Behavior in Patients With Early Chronic Kidney Disease: A Mixed Methods Study.
СтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Cui Yi, Li Jiayao, Liu Na, Li Rong, Li Xiaoyan, Li Fuqiong, Zhai Shuang, Zhang Yinling, Liu Hongbao, Lv Honghong
Аннотация
BACKGROUND: Chronic kidney disease (CKD) is a global health threat to patients' physical and mental health. Effective self-management can slow disease progression in early stages. However, prolonged treatment often leads to ego depletion and subsequently impacts self-management. Interventions to address this issue remain underdeveloped.
AIM: To evaluate the effects of psychological empowerment-based motivational interviewing program on early-stage CKD patients' self-management, perceived empowerment, and ego depletion and to explore their engagement experiences and the underlying reasons for the intervention's effectiveness.
METHODS: The study employed the explanatory sequential mixed methods design comprised of a randomized controlled trial and a qualitative study, which were conducted in a tertiary hospital from July 2022 to November 2023. About 70 patients with early CKD were randomly assigned to a control group (n = 35) receiving standard clinical nursing, or an intervention group receiving a 12-week nurse-led psychological empowerment-based motivational interviewing program consisting of four interview sessions and four consolidation sessions. CKD Self-Management Behavior Scale, Patient Perception of Empowerment Scale, Self-Regulation Fatigue Scale, and biochemical indicators were collected at baseline (T1), after 4 weeks of intervention (T2), immediately postintervention completion (T3), and 4 weeks after intervention completion (T4). Data were analyzed by generalized estimating equation model. Semistructured interviews were conducted with the participants in the intervention group.
RESULTS: The participants' mean age was 42.76 years (SD = 10.59). Compared with the control group, the intervention group had a statistically significant improvement in self-management behavior (T2: β = 18.26, T3: β = 23.73, T4: β = 23.78; p < 0.001), ego depletion (T2: β = -8.46, T3: β = -11.35, T4: β = -13.35; p < 0.001), and perceived empowerment (T2: β = 5.77, p=0.002; T3: β = 9.41, T4: β = 8.99; p < 0.001). Qualitative interviews of 14 participants indicated that the intervention could affect self-perception, improve emotion, and establish healthy behaviors, which may explain such encouraging effects.
CONCLUSIONS: The psychological empowerment-based motivational interviewing program produced immediate and delayed benefits on self-management, perceived empowerment, and ego depletion in patients with early CKD. These findings provide new strategies for chronic disease management and psychological nursing. Trial Registration: Chinese Registry of Clinical Trials: ChiCTR2200064257.
AIM: To evaluate the effects of psychological empowerment-based motivational interviewing program on early-stage CKD patients' self-management, perceived empowerment, and ego depletion and to explore their engagement experiences and the underlying reasons for the intervention's effectiveness.
METHODS: The study employed the explanatory sequential mixed methods design comprised of a randomized controlled trial and a qualitative study, which were conducted in a tertiary hospital from July 2022 to November 2023. About 70 patients with early CKD were randomly assigned to a control group (n = 35) receiving standard clinical nursing, or an intervention group receiving a 12-week nurse-led psychological empowerment-based motivational interviewing program consisting of four interview sessions and four consolidation sessions. CKD Self-Management Behavior Scale, Patient Perception of Empowerment Scale, Self-Regulation Fatigue Scale, and biochemical indicators were collected at baseline (T1), after 4 weeks of intervention (T2), immediately postintervention completion (T3), and 4 weeks after intervention completion (T4). Data were analyzed by generalized estimating equation model. Semistructured interviews were conducted with the participants in the intervention group.
RESULTS: The participants' mean age was 42.76 years (SD = 10.59). Compared with the control group, the intervention group had a statistically significant improvement in self-management behavior (T2: β = 18.26, T3: β = 23.73, T4: β = 23.78; p < 0.001), ego depletion (T2: β = -8.46, T3: β = -11.35, T4: β = -13.35; p < 0.001), and perceived empowerment (T2: β = 5.77, p=0.002; T3: β = 9.41, T4: β = 8.99; p < 0.001). Qualitative interviews of 14 participants indicated that the intervention could affect self-perception, improve emotion, and establish healthy behaviors, which may explain such encouraging effects.
CONCLUSIONS: The psychological empowerment-based motivational interviewing program produced immediate and delayed benefits on self-management, perceived empowerment, and ego depletion in patients with early CKD. These findings provide new strategies for chronic disease management and psychological nursing. Trial Registration: Chinese Registry of Clinical Trials: ChiCTR2200064257.