Motivational interviewing with clients with chronic leg ulceration

Morris, Tania; White, Geoffrey M.

doi:10.12968/bjcn.2007.12.sup1.23048

Cited by 11 publications

(6 citation statements)

References 13 publications

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“…healthcare professionals have a key role in enabling patients to feel in control of their condition. Morris and white (2007) suggested that communication between the nurse and patient as part of a therapeutic relationship promotes a sense of control and self-efficacy.…”

Section: Psychological Effectsmentioning

confidence: 99%

Effects of venous leg ulceration on patients’ quality of life

Maddox¹

2012

Nursing Standard

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This article reviews the literature on quality of life of people with venous leg ulcers. Research indicates that, in most people, chronic ulceration is a continuous cycle of skin breakdown over a period of decades and is associated with impaired quality of life. Management of leg ulceration represents a major component of the community nursing workload, with community nurses spending approximately half of their time treating patients with leg ulcers. However, the complex psychological and social effects of ulceration on the patient are often overlooked as the nurse's main focus is on clinical aspects of wound care. This article identifies the importance of adopting a holistic approach to the care of patients with venous leg ulcers to improve outcomes and quality of life.

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Section: Psychological Effectsmentioning

confidence: 99%

Effects of venous leg ulceration on patients’ quality of life

Maddox¹

2012

Nursing Standard

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“…34 Although few studies explicate the exact mechanisms related to the behavioral intervention on study outcomes, these data provide some evidence to support the use of ME in clinical populations such as those with leg ulcers. 34 Although few studies explicate the exact mechanisms related to the behavioral intervention on study outcomes, these data provide some evidence to support the use of ME in clinical populations such as those with leg ulcers.…”

Section: Discussionmentioning

confidence: 94%

The Effect of a Nurse-Directed Intervention to Reduce Pain and Improve Behavioral and Physical Outcomes in Patients With Critically Colonized/Infected Chronic Leg Ulcers

Kelechi¹,

Mueller²,

Spencer³

et al. 2014

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…The introduction of chronic medication into a patient's life often means that new behavioral patterns need to be established but if the message is not clear, for any factors, accurately understood by the patient; the patients' well-being is further compromised. [24] Therefore, adherence to treatment becomes exceptionally important for these patients who have been diagnosed with rheumatic disorders.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting medication adherence among patients with rheumatic disorders

Ismail

Selim²,

Elkhashab³

2017

JNEP

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Background and objective: Patient's adherence is an important factor affecting the successful maintenance of treatment, slow progression of the disease; reduce costs of health care especially in the presence of multiple chronic conditions as rheumatic disorders. While, medication non-adherence is a significant problem leads to increased mortality and morbidity. So, identification of the factors affecting non-adherence to medication regimens is beneficial for healthcare providers to improve patient's health condition. The aim of the study was to determine factors affecting medication adherence among sample of Egyptian patients with rheumatic disorders.Methods: Design: An exploratory descriptive research design. Subjects: Purposive sampling of patients with history of rheumatic disorders. Setting: The study was carried out in rheumatology department and medical wards at Al-Kaser Al-Aini hospital. Tool: Patient Preliminary Informational Variables, Morisky Medication Adherence Scale 8-Items and Factors affecting drug adherence checklist were used to collect pertinent data.Results: The study showed 59.2% of study group had low adherence, followed by medium adherence and high adherence (28%, 12.7%) to prescribed medications respectively. Findings also; revealed that the highest percent of these factors that may combine to render patients to be less able to adhere to prescribed medication ranked as complexity of medication regimen; chronic conditions, restricted formularies, changing medications covered on formularies; fear of possible adverse effects, fear of dependence; lack of continuity of care, treatment interferes with lifestyle or requires significant behavioral changes; patient information materials written at too high literacy level; severity of symptoms; lack of knowledge on adherence and the effective interventions for improving it; as well the medication cost; long wait times; burdensome schedule; poor access or missed appointments; actual or perceived unpleasant side effects; duration of therapy; medication negative effect on liver and kidney; in addition, psychosocial stress, anxiety and anger.Conclusions: Due to the diversity of causes of non-adherence, the health care professionals must understand factors affecting medication adherence when dealing with problems of medication adherence especially with chronic conditions as rheumatic disorders. Recommendation: Interventions for overcoming factors affecting adherence must become a central component of efforts to improve patients' health worldwide. This could be done by proper determination for factors affecting medication adherence, also to consider patient condition individually and modify the treatment approach accordingly.

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Motivational interviewing with clients with chronic leg ulceration

Cited by 11 publications

References 13 publications

Effects of venous leg ulceration on patients’ quality of life

Effects of venous leg ulceration on patients’ quality of life

The Effect of a Nurse-Directed Intervention to Reduce Pain and Improve Behavioral and Physical Outcomes in Patients With Critically Colonized/Infected Chronic Leg Ulcers

Factors affecting medication adherence among patients with rheumatic disorders

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