动机性访谈对糖尿病患者自我效能及自我管理的影响(1)
【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(P<0.05)。6个月后两组的空腹血糖和糖化血红蛋白较之前均有明显下降，观察组的平均空腹血糖低于对照组(P<0.05)，糖化血红蛋白的差异无统计学意义(P>0.05)。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(P<0.05)。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。
, 百拇医药
【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 (P<0.05).Fasting plasma glucose and glycated hemoglobin in the observation group and the control group were significantly decreased，the mean fasting plasma glucose of the observation group was lower (P<0.05)，the difference in glycated hemoglobin between the two groups was not statistically significant (P>0.05).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(P<0.05).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.
, 百拇医药
【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.1674-4985.2015.17.024
随着社会人口的老龄化趋势加剧以及不良生活方式的增多，糖尿病也呈现年轻化、普遍化的发展趋势，患者以长期高血糖水平为特征，可引起多器官系统的并发症，甚至造成残疾及寿命缩短，糖尿病患者的生理、心理功能以及社会生活也受到疾病的严重影响[1]。临床上尚不能治愈糖尿病，控制血糖水平是减少其并发症的关键，也是目前治疗的主要方向，除药物的作用外，更依赖于患者自身长期的良好的自我管理行为。动机性访谈(Motivational Interviewing，MI)是以患者为中心的咨询措施，鼓励其发现自身问题，使其产生解决问题的内在动力，并将其转化成行为上的改变，从而达到一定的治疗目的[2]。本研究选取本院100例糖尿病患者作为研究对象，在观察组中开展动机性访谈为基础的糖尿病健康教育，与常规护理干预的对照组进行对比，旨在提高患者的自我管理意识，指导患者的生活行为，达到控制糖尿病患者血糖水平的临床目标。, 百拇医药(郭春花 黄秉文)
, 百拇医药
【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 (P<0.05).Fasting plasma glucose and glycated hemoglobin in the observation group and the control group were significantly decreased，the mean fasting plasma glucose of the observation group was lower (P<0.05)，the difference in glycated hemoglobin between the two groups was not statistically significant (P>0.05).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(P<0.05).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.
, 百拇医药
【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.1674-4985.2015.17.024
随着社会人口的老龄化趋势加剧以及不良生活方式的增多，糖尿病也呈现年轻化、普遍化的发展趋势，患者以长期高血糖水平为特征，可引起多器官系统的并发症，甚至造成残疾及寿命缩短，糖尿病患者的生理、心理功能以及社会生活也受到疾病的严重影响[1]。临床上尚不能治愈糖尿病，控制血糖水平是减少其并发症的关键，也是目前治疗的主要方向，除药物的作用外，更依赖于患者自身长期的良好的自我管理行为。动机性访谈(Motivational Interviewing，MI)是以患者为中心的咨询措施，鼓励其发现自身问题，使其产生解决问题的内在动力，并将其转化成行为上的改变，从而达到一定的治疗目的[2]。本研究选取本院100例糖尿病患者作为研究对象，在观察组中开展动机性访谈为基础的糖尿病健康教育，与常规护理干预的对照组进行对比，旨在提高患者的自我管理意识，指导患者的生活行为，达到控制糖尿病患者血糖水平的临床目标。, 百拇医药(郭春花 黄秉文)