Abstract:
AIMS AND OBJECTIVES:To describe goals set in individual nurse-led lifestyle counselling sessions in leg ulcer patients, and to explore patient and goal characteristics in relation to health behaviour change. BACKGROUND:Goal setting is increasingly used in nurse-led counselling programmes, but the delivery is often unknown, especially in patient groups for which only recently programmes have been developed, such as patients with venous leg ulcers. DESIGN:A secondary analysis of data collected in the intervention arm of a randomised clinical trial of counselling sessions in venous leg ulcer patients. METHODS:Nursing records (n = 71) were explored for the number of goals set, topic, quality and course of goals during the trajectory. Furthermore, goals and patient characteristics were compared in relation to health behaviour change. RESULTS:Forty-one patients (58%) succeeded in changing their behaviour after setting a goal. Setting goals for conducting leg exercises was chosen by most patients in this study, goals for adherence with compression therapy were chosen the least. Sixty-eight per cent of the goals met criteria for being Specific, Measurable and Time-bound. Patients who achieved behaviour change were significantly younger compared to the patients who did not. Except for age, there were no differences in characteristics between the group that did and did not achieve behaviour change. CONCLUSIONS:Goal setting could be improved by setting goals more Specific, Measurable and Time-bound, and by setting goals on an essential topic for behaviour change. This explorative study did not show that goal characteristics, including the quality of goals, were related to patients' behaviour change. RELEVANCE TO CLINICAL PRACTICE:The delivery of goal setting in this programme, and most likely in similar programmes, could be improved. Regular quality checks in daily goal setting practice should be considered. More research is needed into how to best provide health promotion to frail and elderly people.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
van de Glind IM,Heinen MM,Evers AW,van Achterberg Tdoi
10.1111/jocn.12955subject
Has Abstractpub_date
2015-12-01 00:00:00pages
3576-83issue
23-24eissn
0962-1067issn
1365-2702journal_volume
24pub_type
杂志文章,随机对照试验abstract:AIM AND OBJECTIVES:To describe the (a) prevalence and perceptions of cardiovascular disease and related health conditions in African Americans with osteoarthritis pain, (b) their knowledge of cardiovascular safety of commonly prescribed analgesics for osteoarthritis and (c) frequency of high-risk analgesic use. BACKGR...
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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