Keywords
Elderly; Psychosocial Caring; Motivational Interviewing; Treatment Regimen
Abstract
The aim of this study is to determine the effect of psychosocial nursing approach application with the motivational interview method on the negative disease perception and the adaptation behavior to the treatment regimen of an elderly female patient diagnosed with Type 2 diabetes and hypertension. The patient and her spouse were the subjects of the interviews contemplated in the form of home visits. Both subjects were informed about the interview process before their written and verbal consents were obtained. In order to promote therapeutic cooperation with the subjects and help them gain a healthy behavior, a program based on motivational interviewing principles was engaged. This program consisted of successive four interviews each lasting 40 minutes on average. The basic principles of motivational interview, such as showing empathy, revealing contradictions, ambivalence, change speech, supporting self-efficacy, were included in the interview process. The patient with ineffective management of treatment regimen was communicated about its reasons and the methods of coping with it throughout this interview process. At the end of the interview process, the patient gained a healthy behavior. In terms of patient’s dietary habits, areas for possible improvements and handicaps for change were joint-evaluated and respective action planning was made. The patient, who was unable to carry on outside exercises on her own, was motivated to continue with home exercises to the maximum extent possible. On the other hand, her husband took active part in responsibilities such as running errands, accompanying physician checks, assisting drug applications so that the patient could sustain a healthy lifestyle effectively.
Citation
Ertem M. Psychosocial Care of a Type 2 Diabetes and Hypertension Diagnosed Patient: A Case Report. SM J Nurs. 2017; 3(2): 1014.