Effects of a Brief Motivational Interviewing Program on Self-Care motivation, Self-Care Behaviors, and Glomerular Filtration Rate among Patients with Chronic Kidney Disease

Authors

  • Kirana Arunsangsod Registered nurse, Sungaikolok hospital
  • Praneed Songwathana Faculty of Nursing, Prince of Songkla University

DOI:

https://doi.org/10.60099/jtnmc.v38i01.259676

Keywords:

brief motivational interviewing, home visit; self-motivation, self-care behaviors, glomerular filtration rate, chronic kidney disease

Abstract

Introduction: Chronic kidney disease (CKD) is a global public health concern, with the number of patients increasing annually. Brief motivational interviewing is a critical strategy reported to be useful in encouraging patients with CKD to better understand how to self-care and reduce risky behaviors, thereby slowing down and preventing kidney degeneration. 

Objective: To investigate the effects of a brief motivational interviewing program on self-care motivation, self-care behaviors, and glomerular filtration rate (GFR) among patients with CKD.   

Design: A quasi-experimental design with two-group pretest–posttest 

Methodology: The participants were 60 patients with CKD stage 3-4 who attended the CKD clinic at a secondary care hospital in Narathiwat province. They were purposively selected based on inclusion criteria and assigned to either an experimental group (n=30) that received usual care and a brief motivational interviewing program consisting of eight sessions and a follow-up period of 20 weeks or a control group (n=30) that received only usual care. Data on self-care motivation (with test-retest reliability of .97), self-care behaviors (with Cronbach’s Alpha coefficient .75), and GFR were collected using questionnaires at baseline and after 20 weeks. Data were analyzed using descriptive statistics, the Chi-Square test, Wilcoxon Signed Ranks test, and Mann-Whitney U test. 

Results: The participants were mainly male elderly with low levels of self-motivation and self-care behaviors. After 20 weeks of the program, the experimental group had significantly increased average scores on self-care motivation, self-care behaviors, and GFR (Z = -4.487, p <.001; Z = -4.547, p <.001; Z = -2.725, p=.006, respectively). The control group had average scores on self-care behaviors and GFR decreased lower than those of the baseline assessment. The mean different scores of the self–care motivation, self-care behaviors, and GFR of the experimental group were statistically and significantly higher than those of the control group (Z=-2.221, p=.026; z=-3.432, p<.001; Z=-4.531, p<.001, respectively). This study indicates that a brief motivational interviewing program has significant positive effects on self-care motivation, self-care behaviors, and GFR among patients with CKD stage 3-4. 

Recommendations: Nurses and healthcare teams can apply the brief motivational interviewing program to promote better self-motivation and self-care behaviors in patients with stage 3-4 chronic kidney diseases. Additionally, continuous monitoring can be implemented to potentially delay disease progression.

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Published

2023-03-21

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1.
Arunsangsod K, Songwathana P. Effects of a Brief Motivational Interviewing Program on Self-Care motivation, Self-Care Behaviors, and Glomerular Filtration Rate among Patients with Chronic Kidney Disease. J Thai Nurse midwife Counc [Internet]. 2023 Mar. 21 [cited 2024 Mar. 29];38(01):52-66. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/259676

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Research Articles