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Effekter av motiverande samtal vid prevention av hjärt- och kärlsjukdom
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2014 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
The effects of motivational interviewing in the prevention of cardiovascular disease (English)
Abstract [sv]

Hjärt- och kärlsjukdom är den främsta dödsorsaken i Sverige. Majoriteten av dem kan förebyggas med hjälp av en livsstilsförändring, men för att göra det krävs motivation. En evidensbaserad metod som används för att främja motivation och livsstilsförändringar är motiverande samtal (MI). Syftet med litteraturstudien var att utforska vilka effekter MI kunde ha i sjuksköterskans prevention av hjärt- och kärlsjukdom. Resultatet visade att MI hade en varierande, men genomgående positiv effekt i att förbättra de levnadsvanor som är kopplade till hjärt- och kärlsjukdom. Bland patienterna som hade deltagit i MI visades främst positiva effekter på fysisk aktivitet, kroppsmått och blodtryck. Kostvanorna hade kortsiktigt förbättrats, men långsiktigt varierade det hur länge de goda vanorna kunde behållas. Den hälsorelaterade livskvaliteten förbättrades, men patienterna upplevde dessutom en ökad ångest. Resultatet visade att MI är en effektiv metod i att främja livsstilsförändringar, däremot är val av utformandet av hur MI ska föras, i kombination med andra metoder och vilken patientgrupp som skulle gynnas mest oklart och implicerar vidare forskning i ämnet.

Abstract [en]

Cardiovascular disease (CVD) is the leading cause of death in Sweden. The majority of all CVDs can be prevented with the help of a lifestyle change, but to do so it requires motivation. An evidence-based approach used to promote motivation and lifestyle changes is motivational interviewing (MI). The aim of this literature review was to explore the effects that MI may have in the nurse’s preventive work against CVD. The results showed that MI had a varied but mainly positive effect in improving lifestyles that are associated with CVD. Among the patients who had participated in MI improvements were shown mainly in physical activity, body size and blood pressure. Dietary habits had improved in the short term, but in the long term it varied how long the good habits could be maintained. The health related quality of life had improved, but the patients also experienced an increase in anxiety. The results showed that MI is an effective method in promoting lifestyle changes, however, it is unclear which design of MI should be chosen, in combination with other methods, and what patient group would benefit the most, which implies further research on the subject.

Place, publisher, year, edition, pages
2014. , 20 p.
Keyword [en]
Cardiovascular disease, lifestyle changes, motivation, motivational interviewing
Keyword [sv]
Hjärt- och kärlsjukdom, livsstilsförändring, motivation, motiverande samtal
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-25633OAI: oai:DiVA.org:hh-25633DiVA: diva2:725026
Subject / course
Nursing
Supervisors
Examiners
Available from: 2014-07-10 Created: 2014-06-14 Last updated: 2014-07-10Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • fi-FI
  • nn-NO
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  • sv-SE
  • Other locale
More languages
Output format
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