심부전은 만성적으로 지속되는 노인인구에서 흔하게 발병 하는 질환으로, 치료기술의 발달에도 불구하고 그 유병률과 사망률이 높고(van Jaarsveld et al., 2006), 잦은 입원, 낮은 삶의 질, 다양한 동반질환, 복잡한 치료방법 등을 특징으로 하 는 임상 증후군이다(Heart Failure Society of America, 2010). 심부전의 주요 증상인 피로와 호흡곤란은 환자들의 일 상생활 기능을 제한하며 잦은 입원과 사망의 주요 원인이 되 며(Schnell-Hoehn, Naimark, & Tate, 2009), 환자들은 높 은 수준의 우울과 낮은 삶의 질을 경험한다(Gottlieb et al., 2004). 심부전 환자관리의 일차적인 목표는 다른 만성질환에 서와 마찬가지로 질병의 완치라기보다는 환자들의 기능상태 를 오랫동안 유지하고, 기대수명을 늘이고, 삶의 질을 향상시 키는 것이다(National Institute for Health and Clinical Excellence, 2010).
Purpose: The purpose of this study was to investigate the impact of motivational interviewing on disease-related knowledge, depression, self-care behavior, and health-related quality of life in patients with heart failure. Methods: Twenty outpatients with heart failure being seen at one of three hospitals in southern areas of South Korea were randomly assigned to the experimental group (n=9) or control group (n=11). The experimental group received 10~20 minute telephone interviews, twice a week for four weeks. Data were collected from May 1 to October 31, 2012. Results: Participants in the experimental group showed significant increases in levels of disease-related knowledge and self-care behaviors, especially in the area of regular exercise. Conclusion: The findings of this study suggest the possibility of motivational interviewing to elicit behavior changes in patients with heart failure. Considering the high refusal and drop-out rates of the study participants, developing more systematic approaches for patient recruitment and retention strategies are required. Repeated studies with bigger sample size would strengthen the generalizability of the study findings.
서 론 연 구 방 법 연 구 결 과 논 의 결 론
