动机性访谈对糖尿病患者自我效能及自我管理影响.docVIP

动机性访谈对糖尿病患者自我效能及自我管理影响 　　【摘要】 目的：探究动机性访谈在糖尿病患者自我效能和自我管理中的应用价值。方法：选取本院2012年11月-2013年2月在内分泌科住院治疗的100例糖尿病患者，随机数字表法分为观察组和对照组，每组50例。两组患者在研究期间均接受糖尿病的基础药物治疗，对照组患者给予常规护理干预和健康教育，观察组给予综合护理干预（常规护理以及包括动机性访谈在内的健康教育）。比较6个月后患者的自我效能与自我管理量表评分，血糖控制状况和生活质量。结果：干预6个月后两组患者的自我效能和自我管理评分较干预前均有提高，观察组的平均评分高于对照组（P0.05）。观察组各项生活质量评分较之前均有明显提高，对照组仅在治疗成果上较干预前有显著提高，观察组在各个维度上的评分均明显高于对照组（P0.05）。结论：动机性访谈指导的健康教育对糖尿病患者的自我效能和自我管理有明显的改善作用，有助于控制血糖，提高患者的生活质量。 　　【关键词】 动机性访谈； 糖尿病； 自我效能； 自我管理 　　【Abstract】 Objective：To explore the influence of motivational interviewing on self-efficacy and self-management in patients with diabetes.Method：100 cases with diabetes in our hospital from November 2012 to February 2013 were selected and randomly divided into observation group and control group with 50 cases in each group.All patients were treated with basic drug therapy，in the control group patients were treated with routine care intervention and health education while the observation group plus comprehensive nursing interventions which included health education based on motivational interviews.Self-management and self-efficacy scores，glycemic control and quality of life after 6 months were compared.Result：Self-efficacy and self-management of the two groups were significantly improved，with an average score of the observation group higher than that of the control group （P0.05）.The quality of life of the observation group was significantly improved，and the control group only advanced in treatment outcome，The scores of the observation group were higher than that of the control group in all dimensions（P0.05）.Conclusion：Motivational interviewing which guides health education has significant improvement for diabetes’ self-efficacy and self-management，it helps control blood sugar and improve the patients’ quality of life. 　　【Key words】 Motivational interviewing； Diabetes； Self-efficacy； Self-management 　　First-author’s address：The Second People’s Hospital of Foshan City，Foshan 528000，China 　　doi：10.3969/j.issn.1674-498