摘要
目的探讨回授法配合动机性访谈在糖尿病患者中的应用效果。方法采用便利抽样法,选取2018年6月—2021年6月河南省人民医院收治的188例糖尿病患者为研究对象,按照入院时就诊顺序编号,将研究对象分为干预组和对照组,各94例。对照组患者给予常规糖尿病教育,干预组患者采用回授法配合动机性访谈进行干预,比较两组患者干预前后的血糖指标、知信行水平、自我管理能力及生活质量。结果两组患者干预后的空腹血糖、餐后2 h血糖水平均低于干预前,且干预组干预后的空腹血糖、餐后2 h血糖水平均低于对照组,差异均有统计学意义(P<0.05);两组患者干预后的知识、态度、行为评分及总分均高于干预前,且干预组干预后的知识、态度、行为评分及总分均高于对照组,差异均有统计学意义(P<0.05);两组患者干预后的自我管理能力各维度评分均高于干预前,且干预组干预后的自我管理能力各维度评分均高于对照组,差异均有统计学意义(P<0.05);两组患者干预后的生存质量各维度评分及总分均低于干预前,且干预组干预后的生存质量各维度评分及总分均低于对照组,差异均有统计学意义(P<0.05)。结论应用回授法配合动机性访谈干预可有效提高糖尿病患者的知信行水平和自我管理能力,利于血糖控制及生活质量的提高,值得临床推广使用。
Objective To explore the effect of teach-back method combined with motivational interviewing in diabetic patients.Methods From June 2018 to June 2021,188 diabetic patients admitted to Henan Provincial People's Hospital were selected as subjects by convenience sampling.The subjects were divided into the intervention group and the control group,with 94 cases in each group,according to the number of visits to the hospital at the time of admission.The patients in the control group were given routine diabetes health education,and the patients in the intervention group received the teach-back method combined with motivational interviewing.The blood glucose,knowledge,attitude and practice,self-management ability and quality of life were compared between the two groups before and after the intervention.Results The fasting blood glucose,2-hour postprandial blood glucose of the two groups of patients after intervention were lower than those before intervention,and the fasting blood glucose,2-hour postprandial blood glucose of the intervention group after intervention were lower than those of the control group,and the differences were all statistically significant(P<0.05).The knowledge,attitude,practice scores and total scores of the two groups after intervention were higher than those before intervention,and the knowledge,attitude,practice scores and total score of the intervention group after intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).The dimension scores of self-management ability of the two groups after the intervention were higher than those before the intervention,and the dimension scores of self-management ability of the intervention group after intervention were higher than those of the control group,with statistical differences(P<0.05).The dimension scores and total score of quality of life in the two groups after intervention were lower than those before intervention,and the dimension scores and total score of quality of life in the intervention group after intervention were lower than those in the control group,with statistical differences(P<0.05).Conclusions The teach-back method combined with motivational interviewing can effectively improve the knowledge,attitude,practice and self-management ability of diabetic patients,which is beneficial to the improvement of blood glucose control and quality of life,and is worthy of clinical promotion.
作者
周帆
吕英华
韦伟
黄文贞
王洁
邝金芳
田洁
Zhou Fan;Lyu Yinghua;Wei Wei;Huang Wenzhen;Wang Jie;Kuang Jinfang;Tian Jie(Department of Endocrinology,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中华现代护理杂志》
2022年第16期2202-2207,共6页
Chinese Journal of Modern Nursing
关键词
糖尿病
回授法
动机性访谈
知信行水平
生活质量
Diabetes mellitus
Teach-back method
Motivational interviewing
Knowledge,attitude,and practice
Quality of life
