Motivational Interviewing (MI) is a collaborative, goal-oriented and focused on change, style of communication. It is characterised by the MI provider’s empathy, understanding, mental and emotional attitudes towards the patient. This non-judgemental conversation is aimed at strengthening inner motivation and commitment to attain the goal and is based solely on the individual’s reasons for change. The initial application of MI in clinical psychology has been modified appropriately to allow for its use in health care, rehabilitation, public health, social work, dentistry, social rehabilitation, coaching and education. It is recommended for introducing new behaviours, lifestyles and therapeutic adherence. The application of MI contributes to the enhancement of patient-healthcare worker communication, the patient’s concordance and compliance. On the other hand, learning and adopting this method in counselling is useful for healthcare professionals. In treatment, greater patient awareness and obedience lead to more conscientious responsibility for treatment and health, which in turn, produces better therapy outcomes that serve as confirmation of the merit of the therapy prescribed. The application of MI contributes to health professionals’ greater success, satisfaction, self-confidence and a sense of self-efficacy. The aim of this work is to present the essential features of MI as well as some interesting examples of research showing the benefits of using MI and ideas for training it. Non-systematic literature review of the years 2005-2018 on the use of MI in health promotion in PubMed provided evidence of wide use of MI by healthcare professionals.
The family situation of seniors affected the level of quality of life. Living with their relatives may be expected to be favourable for seniors because it translates into better performance in physical, psychological and social domains. Loneliness, which frequently accompanies old age, leads to the deterioration of the quality of life.
Motivational interviewing (MI) is a clinical, person-centred way of talking about change based on cooperation and aimed at strengthening a person, enhancing their motivation, and commitment to change. The phenomenon of the type of communication lies in its interdisciplinary character and effective application in health promoting education. The purpose of the article is to present the method of MI and possibilities of using it in the practice of obesity reduction on the basis of literature review reports on MI in health promotion delivered in the databases of, among others, PubMed and Scholar Google. The numerous research findings prove that MI is an effective intervention, which activates and supports people in the process of change due to bolstering their self-awareness, self-efficacy, and motivation, which, consequently, favours the effort made to achieve or maintain health. The potential of the approach in health promotion relies on the vast array of its application.
Motivational interviewing (MI) is a specific style of communication based on collaboration, aimed at achieving a goal and focused on change talk. This is conducted in an atmosphere of comprehension, acceptance and compassion, being intended to strengthen inner motivation and commitment to attain goals by the search for, and assessment of, the individual’s reasons for change. Change talk may refer to new behaviours, lifestyles or the introduction of treatment adherence. Therefore, it can be a part of health care provider – patient communication. The application of MI contributes to an increase in patients’ concordance and compliance as well as rightness of the therapy prescribed because it heightens an individual’s awareness and eagerness to change and triggers positive thinking, being focused on resources and values. The aim of this article is to familiarise the MI character and present some interesting examples characterised by a diversity of ideas in the overall vision of public health concentrated on health promotion. A non-systematic literature review of the years 2003-2018 on the use of MI in health promotion in PubMed provided evidence of great interest in MI in such contexts as body weight reduction, an increase in physical activity, or coping with risk behaviours e.g. addictions. The aforementioned problems are a major cause of non-communicable diseases. The application of MI results in health behaviour improvement along with increased self-esteem and self-efficacy, inner motivation and willingness to change habits.
Introduction. Health locus of control is an essential factor affecting lifestyle which plays a major role in choosing health behaviours by individuals including young ones. Aim. The aim of the study was the determination of selected conditions of health control and health behaviours in students of health sciences. Material and methods. The study encompassed 175 students of health sciences at the Medical University of Lublin. The multidimensional health locus of control scale (MHLC), version B, by Z. Juczyński was applied as it measures expectations in three dimensions of health control: internal, external (influence of others) and chance. A special authors’ questionnaire compiled for the purpose was used to assess health behaviours. Results. The results of the study show that the internal dimension of health control (25.86 points) has the greatest impact on health in the group studied. The oldest study participants dwelling in the countryside gave this dimension a higher ranking than other study participants. For the students health behaviours included fastening seat belts, healthy nutrition and doing sports. Conclusions. The internal dimension of health control constitutes an essential factor determining health behaviours of the study participants. The students who are not able to assess whether they are healthy individuals, significantly more frequently perceive the greatest influence of others on their health.
Background. Health is commonly regarded to be a social and individual value. it is perceived from the angle of multiple factors that determine health status. Objectives. evaluation of the relationship between the value of health and the health behaviors declared by primary healthcare patients over 65 years of age. Material and methods. the study encompassed 505 patients of primary healthcare who were over 65 years of age. those surveyed were asked to complete a questionnaire consisting of the Health Behavior inventory (HBi) and Health criteria list (Hcl) by z. Juczyński. Results. the findings of the study demonstrate that in the evaluation of the health behaviors of the surveyed patients above 65 years of age, the average value of the HBi was 76.49 points. Having analyzed the separate categories of health behaviors, it has been reported that preventive behaviors and health practices were rated highest. these seniors paid the greatest attention to health in terms of property and condition. Health in terms of being a goal is treated as least important. Patients with a higher general level of health behaviors less frequently perceive health in the category of an outcome (p = 0.001). Conclusions. seniors attach great significance to health understood as property or condition, which may explain their reluctant approach to this issue. the perception of health as an expected outcome is associated with a lower general rate of health behaviors. Key words: individuals over 65 years of age, health behaviors, value of health. Summary ISSN 1734-3402, eISSN 2449-8580this is an open access article distributed under the terms of the creative commons attribution-noncommercial-sharealike 4.0 international (cc By-nc-sa 4.0). license (http://creativecommons.org/licenses/by-nc-sa/4.0/). nowicki gJ, Młynarska M, Ślusarska B, rudnicka-drożak e, szczekala k, Bartoszek a. the relationship between the value of health and health behaviors in individuals over 65 years of age.
Introduction: The top priority for active immunoprophylaxis of pertussis is the immunisation of infants as they can sometimes develop severe multiple-organ complications. Objectives: The aim of the work is the identification of factors negatively affecting vaccine immunity to pertussis in preschool children prior to the administration of the first booster. Patients and Methods: The research was conducted on 352 children from 4.5 to 5.9 years of age who were hospitalised in the University Children’s Hospital in Lublin (Poland) from 1 January 2012 to 31 December 2015. The children taking part in the study had been administered all the mandatory vaccines from their birth to the age of 2 or 2.5 years old according to the Polish Immunisation Program 2008–2009. The immunoenzymatic method ELISA (enzyme-linked immunosorbent assay) was applied to assess vaccine immunity to tetanus, diphtheria, pertussis, Haemophilus influenzae type b (Hib), poliomyelitis (IPV), mumps, rubella and measles. The level of vaccine antibodies to hepatitis type B was determined chemilumiscently. Results: The protective antibody titre was not found in 41 (11.65%) children before the administration of the booster. To verify the collective impact of parameters analysed on antibody titre to pertussis, the Generalized Linear Model (GLZ) was used. Gender, type of vaccine, asthma, Hib and mumps antibody titres have been shown to be predictors of vaccine immunity to pertussis. Conclusions: Immunomodulation considered on the example of titre of IgG antibody to pertussis can serve as a useful model of the assessment of development of acquired immunity after mandatory vaccinations.
Introduction. Professional burnout, as a defensive, psycho-physical reaction to chronic occupational stress resulting from the imbalance between the demands of the environment and resources of an individual, is the phenomenon which considerably affects the nursing profession. Coping strategies reflect typical ways of reacting to stressful events. The following dissertation is an attempt to provide information on which coping strategies predispose nurses to burnout. Aim. The aim of the study is determination of coping strategies that are predictors of professional burnout in Polish nurses. Material and methods. The research group comprised 29 nurses employed in hospitals located in Eastern Poland. The authors’ own socio-demographic questionnaire and standardised psychometric tools were utilised in the course of the research. Brief COPE by S.CH. Carver, adapted into Polish by Z. Juczyński and N. Ogińska-Bulik was applied to determine coping strategies. Link Burnout Questionnaire by M. Santinello, adapted into Polish by A. Jaworowska, was used to measure burnout. Results. Psychophysical exhaustion is to a great extent connected with such coping strategies as self-blame and planning. Relationship deterioration affects individuals who tend to react to a stressful event by venting emotions. The greater the tendency to self-blame and venting when faced with a stress-related situation, the greater the risk of experiencing the sense of professional ineffectiveness. Disillusion with work is conditioned by denial whereas self-distraction protects from disillusion. Conclusions. Polish nurses present a moderate and high level of burnout. Some coping strategies (self-blame, venting, self-distraction, planning and denial) are predictors of professional burnout in nurses. It can be assumed that interventions aimed at training certain coping strategies based on the research results may enhance resistance to burnout in nursing professionals.
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