动机性访谈对2型糖尿病患者自我管理能力的影响

THE EFFECT OF MOTIVATIONAL INTERVIEWING ON SELF-MANAGEMENT BEHAVIORS IN TYPE 2 DIABETIC PATIENTS

目的观察动机性访谈(MI)对2型糖尿病患者自我管理能力及血糖控制的效果。方法将2型糖尿病患者124例随机分为观察组和对照组(各62例)。对照组患者采用传统教授式健康教育;观察组采用MI进行健康教育。分别在干预前和干预后6个月采用糖尿病自我管理行为量表进行评估,并观察干预前后患者血糖控制水平。结果观察组干预6个月后总体行为得分和各项指标得分均高于对照组,差异有统计学意义(t=5.433,5.342,4.739,6.192,5.881,5.618,5.050,P<0.01)。观察组干预6个月后糖化血红蛋白水平明显低于对照组,差异有统计学意义(t=-3.815,P<0.01)。结论以动机性访谈进行健康教育可明显改善糖尿病患者的自我管理行为以及糖化血红蛋白水平。

Objective To explore the motivational interviewing＇s effect in improving the self- management behaviors in type 2 diabetic patients. Methods A total of 124 type 2 patients were randomly divided into observation group and control group, 62 cases in each group. Control group was accepted general nursing education, while observation group was accepted motivational interview. The self-management behavior scale was used to assess the patients with scores before and after the intervention for 6 months. Blood glu- cose control in patients was observed before and after the intervention. Results After the intervention, the self-care capacity in the observation group were better than the control group（t = 5. 433, 5 342, 4. 739,6. 192, 5. 881, 5. 618 and 5. 050,P〈0.01）. After the intervention, glycated hemoglobin levels in the observation group were lower than the control group（t = - 3. 815, P〈0.01）. Conclusions Motivational interview can enhance the ability of self- management in type 2 diabetic patients so as to control glycosylated hemoglobin.