摘要
目的评价动机谈话技术对社区糖调节受损(IGR)者自我效能、血糖等代谢指标的干预效果。方法采用自身前后对照研究,对某社区卫生服务中心所管理的81例IGR者进行6个月的动机访谈。比较干预前后IGR者饮食、运动、自我监测方面的自我效能得分、血糖水平以及其他代谢指标的变化。结果与干预前相比,IGR者各项目的自我效能得分均提高(P值均<0.01);干预后IGR者的血糖、BMI、血压及TG平均水平较干预前均下降,差异均有统计学意义(P值均<0.05)。结论动机谈话技术在社区慢性病管理中具有一定的应用价值。
Objective To evaluate motivational interviewing techniques on self-efficacy,metabolic parameters such as blood glucose level on impaired glucose regulation(IGR)individuals in local communities.Methods A self-controlled study was conducted,81subjects with IGR in a local community health service center received motivational interviewing for 6months,whose self-efficacy on diet,exercise,self-monitoring and metabolic parameters such as blood glucose level were compared before and after intervention.Results After intervention,all self-efficacy targets scores of the IGR individuals increased(P〈.01); their blood glucose level,BMI,blood pressure and TG level decreased,with significant difference(all P〈.05).ConclusionMotivational interviewing technique was applicable to manage chronic diseases in local communities.
出处
《江苏预防医学》
CAS
2014年第3期12-15,共4页
Jiangsu Journal of Preventive Medicine
基金
江苏省卫生厅科研基金(Y2012029)
关键词
糖调节受损
动机谈话
自我效能
社区
疾病管理
impaired glucose regulation motivational interviewing self-efficacy community disease management