Treatment Adherence Interventions for Burn Patients: What Works and What Role Can Motivational Interviewing Play?

IF 1 Q4 CRITICAL CARE MEDICINE European burn journal Pub Date : 2022-04-06 DOI:10.3390/ebj3020026
Christian R R Goans, Karen J Meltzer, Blake Martin, Kimberly Roaten
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Abstract

The unique challenges burn patients face along the trajectory of recovery necessitate an interdisciplinary team approach to care. As much as providers rely on care-team members for delivery of optimal treatment, the patient must be an active collaborator in their care. Optimal burn recovery outcomes hinge on treatment adherence. In addition to general challenges faced in ubiquity by burn patients, there are specific patient populations for whom treatment adherence is particularly challenging. Although psychological interventions have been used successfully with burn patients, very few are appropriate for both inpatient and outpatient care environments and most do not focus on treatment adherence. This paper reviews unique facets of Motivational Interviewing (MI) that may be applicable in interdisciplinary burn treatment teams across inpatient and outpatient settings to optimize treatment adherence.

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烧伤患者坚持治疗的干预措施:哪些方法有效,动机访谈法能发挥什么作用?
烧伤患者在康复过程中面临着独特的挑战,因此有必要采用跨学科的团队护理方法。就像医疗服务提供者依赖护理团队成员提供最佳治疗一样,患者也必须成为护理工作的积极合作者。最佳的烧伤康复效果取决于治疗的依从性。除了烧伤患者普遍面临的一般挑战外,还有一些特殊的患者群体,坚持治疗对他们来说尤其具有挑战性。虽然心理干预已成功应用于烧伤患者,但很少有心理干预同时适用于住院和门诊治疗环境,而且大多数心理干预并不关注治疗依从性。本文回顾了动机访谈法(MI)的独特之处,这些方法可能适用于住院和门诊环境下的跨学科烧伤治疗团队,以优化治疗依从性。
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