Motivational Interviewing in a Patient With Schizophrenia to Achieve Treatment Collaboration: A Case Study

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• 作者：Melike Ertem^a ; ^b ; ^{melike_yonder@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Zekiye Ç ; etinkaya Duman^c ; ^{zekiyecetinkaya@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 刊名：Archives of Psychiatric Nursing
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：30
• 期：2
• 页码：150-154
• 全文大小：238 K

文摘

Medication nonadherence decreases the success of clinical treatment and the efficient use of resources, thereby creating a barrier to effective health care. In this report, we describe the achievement of treatment collaboration through motivational interviews (MI) in a patient with treatment-resistant schizophrenia. In this case study, we conducted six MIs during which we asked open-ended and reflective questions, established empathy with the patient, and developed discrepancies, leading to ambivalent feelings being revealed. We used the importance, confidence and self-efficacy ruler. The MI method can be used to ensure continued treatment effectiveness, to increase patient awareness about the disease and benefits of treatment, and to increase patients' self-efficacy.