跨理论模型和动机性访谈对长期血糖控制不良2型糖尿病患者治疗依从性及生活质量的影响

The Effect of Transtheoretical Model and Motivational Interviewing on Treatment Compliance and Quality of Life in Type 2 Diabetes Patients with Poor Control of Blood Glucose

目的探讨跨理论模型和动机性访谈对长期血糖控制不良2型糖尿病患者治疗依从性及生活质量的影响。方法选取100例长期血糖控制不良2型糖尿病患者,按随机数字表法分为观察组和对照组,各50例。对照组采用常规护理干预。观察组采用跨理论模型和动机性访谈。比较两组血糖水平、治疗依从性及生活质量。结果干预后观察组空腹血糖(FBG)、餐后血糖(PBG)、糖化血红蛋白(HbA1c)均显著降低,与对照组比较有显著性差异(P<0.05)。两组治疗依从性比较有显著性差异(P<0.05)。观察组生活质量评分显著降低,与对照组比较有显著性差异(P<0.05)。结论跨理论模型和动机性访谈可有效控制2型糖尿病患者血糖水平,提高治疗依从性和生活质量。

Objective To evaluate the effect of transtheoretical model and motivational interviewing on treatment compliance and quality of life in type 2diabetes patients with poor control of blood glucose.Methods 100 cases of type 2 diabetes patients with poor control of blood glucose were randomly divided into observation group（n=50）and control group（n=50）.Common nursing for patients in control group while transtheoretical model and motivational interviewing for patients in observation group.Then compared the blood glucose level,treatment compliance and quality of life between the two groups.Results After intervention,the fasting blood-glucose（FBG）,postprandial blood glucose（PBG）and haemoglobin A1c（HbA1c）of observation group significantly decreased.The differences compared with the control group were statistically significant（P 0.05）.The treatment compliance of observation group and control group respectively were 80.0%（40/50）and 62.0%（31/50）,the difference showed statistically significant（P〈0.05）.The diabetes specific quality of life（DSQL）score in observation group significantly decreased,compared with the control group differences statistically significant（P〈0.05）.Conclusion The transtheoretical model and motivational interviewing can effectively control blood sugar levels in patients with type 2 diabetes,improve treatment compliance and quality of life.It is worthy of clinical promotion.