Background: Stroke patients urgently need rehabilitation to enhance activities of daily living. This study aims to determine whether motivational interviewing (MI) improves the performance of activities of daily living and enhances motivation for rehabilitation among first-stroke patients. Methods: A quasi-experimental design was used in this study. The study recruited 65 patients between March and October 2016. Before the intervention, all patients received routine care. The experimental group (n = 33) received weekly sessions of MI for 6 weeks, whereas the control group (n = 32) received individual attention from a research nurse weekly for 6 weeks. Structured questionnaires were used to collect data, including demographic data, activities of daily living data (Barthel index {BI} and instrumental activities of daily living {IADLs} scale), and rehabilitation motivation data. Results: The BI and IADLs scores significantly improved with time in both the experimental and control groups. The generalized estimating equation approach showed that at 6 weeks and 3 months after the intervention, the rehabilitation motivation scores in the experimental group were respectively 3.10 and 2.54 points higher than those in the control group, with significant differences. Conclusions: MI could effectively enhance motivation for rehabilitation among stroke patients.
1 January 2017 in Journal of Comprehensive Nursing Research and Care
Comparison of primiparas using non-painless and painless resulting in physical symptoms and Apgar score background Using painless methods for childbirth can indeed help mothers relieve pain, blocking sensory nerves that cause labor pain. However, primiparas would not be able to feel uterine contractions at the same time, or difficultly put a lot of strength into labor, sometimes even applying forces incorrectly during the second stage of labor, leading to extended labor time. Another study showed the opposite result – reduction in labor time. Due to less painless labor studies conducted on Asian women, this study aims to explore the impact painless labors have on maternal Asians.