TY - JOUR

T1 - Мотивационное интервьюирование пожилых пациентов для участия в программах самоуправления при хронической обструктивной болезни легких

AU - Kukol, L V

AU - Obrezan, A G

AU - Pupyshev, A V

PY - 2022/5/24

Y1 - 2022/5/24

N2 - The aim of this work is to create a methodology for the selection of older patients with a high degree of motivation to manage their disease in COPD. An algorithm for assessing the patient's motivation has been developed, consisting of 2 steps: a motivational interview and a calculation of motivational potential (MP). The interview is conducted using a questionnaire consisting of 4 blocks. Motivational potential is calculated as the sum of the influence contributions of blocks with selected weighting coefficients. The results of the MP potential assessment allow stratifying patients for participation in self-management programs into 3 psychotypes: motivated (MP≥0,5), unmotivated (MP≤0,25) and undecided (0,25≤MP≤0,5). To determine MP, 144 patients with COPD were interviewed: 111 men, mean age 68,5±4,6; women - 33, mean age 71,2±3,4 (minimum - 60 years, maximum - 75 years). The average duration of the disease was 5,48±1,2 years. 117 patients had stage 3 COPD, 27 patients had stage 2. It was found that 49/34% of patients have MT of 0.5 or more, 76/52,8% have 0,25 to 0,5, and 19/13,2% are unmotivated patients (MT<0,25). The proposed algorithm for assessing the motivational potential is distinguished by the simplicity of selecting elderly patients for the implementation of self-management programs in COPD.

AB - The aim of this work is to create a methodology for the selection of older patients with a high degree of motivation to manage their disease in COPD. An algorithm for assessing the patient's motivation has been developed, consisting of 2 steps: a motivational interview and a calculation of motivational potential (MP). The interview is conducted using a questionnaire consisting of 4 blocks. Motivational potential is calculated as the sum of the influence contributions of blocks with selected weighting coefficients. The results of the MP potential assessment allow stratifying patients for participation in self-management programs into 3 psychotypes: motivated (MP≥0,5), unmotivated (MP≤0,25) and undecided (0,25≤MP≤0,5). To determine MP, 144 patients with COPD were interviewed: 111 men, mean age 68,5±4,6; women - 33, mean age 71,2±3,4 (minimum - 60 years, maximum - 75 years). The average duration of the disease was 5,48±1,2 years. 117 patients had stage 3 COPD, 27 patients had stage 2. It was found that 49/34% of patients have MT of 0.5 or more, 76/52,8% have 0,25 to 0,5, and 19/13,2% are unmotivated patients (MT<0,25). The proposed algorithm for assessing the motivational potential is distinguished by the simplicity of selecting elderly patients for the implementation of self-management programs in COPD.

KW - Aged

KW - Female

KW - Humans

KW - Male

KW - Motivation

KW - Motivational Interviewing/methods

KW - Pulmonary Disease, Chronic Obstructive/diagnosis

KW - Self-Management

KW - Surveys and Questionnaires

KW - chronic obstructive pulmonary disease

KW - disease self-management

KW - motivational potential

UR - http://www.scopus.com/inward/record.url?scp=85132268582&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/bd134dd4-4195-3335-bde7-e31354283815/

U2 - 10.34922/ae.2022.35.2.015

DO - 10.34922/ae.2022.35.2.015

M3 - статья

C2 - 35727938

VL - 35

SP - 302

EP - 307

JO - УСПЕХИ ГЕРОНТОЛОГИИ

JF - УСПЕХИ ГЕРОНТОЛОГИИ

SN - 1561-9125

IS - 2

ER -