动机访谈路线图对糖尿病患者血生化指标及自我效能的影响

Influence of motivational interviewing roadmap on the blood biochemical indexe and the self-efficacy of diabetes patients

目的动机访谈路线图对糖尿病患者血生化指标及自我效能的影响。方法选取本院2012年3月-2013年2月收治的60例糖尿病患者作为对照组,实施传统护理方案。选取本院2013年3月-2014年2月收治的68例糖尿病患者作为研究组,在对照组的基础上开展动机访谈路线图进行护理干预。比较两组干预前后的血生化指标、自我效能总分及6个维度得分。结果研究组干预后的空腹血糖、餐后2 h血糖、糖化血红蛋白及BMI水平显著低于对照组,差异有统计学意义（P〈0.05）。研究组干预后的各项自我效能评分显著高于对照组,差异有统计学意义（P〈0.05）。结论在糖尿病患者中应用动机访谈路线图能够改善其血生化指标及提高自我效能,可取得良好的经济效益与社会效益,值得临床推广应用。

Objective To explore the influenee of motivational interviewing roadmap on the blood biochemical indexe and the self-efficacy of diabetes patients. Methods 60 cases with diabetes from March 2012 to February 2013 in our hospital were selected as the control group,which was given traditional nursing.68 cases with diabetes from March 2013 to February 2014 in our hospital were selected as the research group,which was given nursing intervention of motivational interviewing roadmap on the basis of the control group.The blood biochemical index,self-efficacy score and score of six dimensions in two groups was compared. Results The level of fasting blood glucose,postprandial 2 h blood glucose,glycosylated hemoglobin and BMI in the research group after intervention was lower than that in the eontrol group, with significant difference （P〈0.05）.The various self-efficacy scores of the study group after intervention was higher than that of the eontrol group,with significant difference （P〈0.05）. Conclusion The application of the motivational interview route map in the patients with diabetes ean improve the blood biochemical parameters and improve the self-efficacy, and can achieve good economic benefits and social benefits,it is worthy of clinical promotion and application.