Hong Kong Med J 2014;20(Suppl 3):S15-9
Effect of motivational interviewing on the clinical and psychological outcomes and health-related quality of life of cardiac rehabilitation patients with poor motivation
SY Chair, SWC Chan, DR Thompson, KP Leung, SKC Ng
The Nethersole School of Nursing, The Chinese University of Hong Kong
1. The low compliance rate and high dropout rate in traditional cardiac rehabilitation programme reflect the challenges to patients in maintaining a healthy lifestyle to prevent heart disease.
2. Motivational interviewing is effective in cardiac rehabilitation by increasing physical activity level of patients at 5 months, and reducing stress and dietary fat intake at 12 weeks.
3. Motivational interviewing did not significantly improve clinical and psychological outcomes of patients, but showed benefits in terms of the bodily pain subscale, general health subscale, and role emotional subscale of health-related quality- of-life outcomes.
4. Patients attending the cardiac rehabilitation programme demonstrated short-term (3-month) and long-term (12-month) improvements in clinical outcomes (exercise capacity, total cholesterol level, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglyceride), psychological (anxiety and depression) and quality of life (all subscales of the SF-36) outcomes.