摘要
目的分析动机性访谈(MI)护理干预模式对社区糖尿病患者自我管理、血糖水平控制的影响。方法随机选择武汉市汉阳区江堤街社区卫生服务中心2013年2月—2014年3月间收治的86例糖尿病患者,采取数字分组法将病例分为研究组与对照组,分别给予MI护理干预及社区常规护理,6个月后分析两组患者的自我管理能力及血糖变化情况。结果干预后研究组患者的糖尿病自我行为管理量表(SDSCA)各个维度评分、血糖指标明显优于对照组,且两组均优于干预前(P<0.05);研究组患者干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,且两组评分均低于干预前(P<0.05)。结论通过对社区糖尿病患者实施MI护理干预,增强了患者的自我管理能力,患者血糖水平控制效果显著。
[Objective ] To explore the effect of motivated interview （MI） nursing intervention mode on improvement of self management and blood glucose control in community diabetes patients. [Methods] 86 diabetes patients who were treated in Jiangdi Street Community Health Service Center of Hanyang District from February 2013 to March 2014 were randomly divided into the research group and the control group. Two groups were respectively given MI nursing intervention and routine community nursing. After six months, the self management ability and blood glucose level of two groups were analyzed. [Results] After intervention, the scores of each dimension in SDSCA and blood glucose level in the research group were significantly better than those in the control group, and these indexes in both groups after intervention were significantly better than those before intervention （P〈0.05）. After intervention, the scores of SAS and SDS in the research group were significantly lower than those in the control group, and the scores in both groups after intervention were significantly better than those before intervention （P〈0.05）. [ Conclusion] MI nursing intervention improves the self management ability of community diabetes patients, and their blood glucose level has been controlled effectively.
出处
《职业与健康》
CAS
2015年第13期1845-1848,共4页
Occupation and Health
关键词
糖尿病
动机性访谈
护理干预
自我管理
血糖
Diabetes
Motivated interview （MI）
Nursing intervention
Self management
Blood glucose
