基于动机谈话技术的社区糖调节受损者干预效果评价  

Efficacy analysis of effects of motivational interviewing techniques on impaired glucose regulation individuals in local communities

作　　者：李秀云 王丹[2] 张蓓 钱志霞 刘娟 张丽娜[2] 周玲[2] 张开金[3] 

机构地区：[1]江苏省南京市鼓楼区模范西路社区卫生服务中心,南京210013 [2]南京医科大学公共卫生学院,南京211166 [3]东南大学公共卫生学院,南京210009

出　　处：《江苏预防医学》2014年第3期12-15,共4页Jiangsu Journal of Preventive Medicine

基　　金：江苏省卫生厅科研基金(Y2012029)

摘　　要：目的评价动机谈话技术对社区糖调节受损(IGR)者自我效能、血糖等代谢指标的干预效果。方法采用自身前后对照研究,对某社区卫生服务中心所管理的81例IGR者进行6个月的动机访谈。比较干预前后IGR者饮食、运动、自我监测方面的自我效能得分、血糖水平以及其他代谢指标的变化。结果与干预前相比,IGR者各项目的自我效能得分均提高(P值均<0.01);干预后IGR者的血糖、BMI、血压及TG平均水平较干预前均下降,差异均有统计学意义(P值均<0.05)。结论动机谈话技术在社区慢性病管理中具有一定的应用价值。Objective To evaluate motivational interviewing techniques on self-efficacy,metabolic parameters such as blood glucose level on impaired glucose regulation（IGR）individuals in local communities.Methods A self-controlled study was conducted,81subjects with IGR in a local community health service center received motivational interviewing for 6months,whose self-efficacy on diet,exercise,self-monitoring and metabolic parameters such as blood glucose level were compared before and after intervention.Results After intervention,all self-efficacy targets scores of the IGR individuals increased（P〈.01）; their blood glucose level,BMI,blood pressure and TG level decreased,with significant difference（all P〈.05）.ConclusionMotivational interviewing technique was applicable to manage chronic diseases in local communities.

关 键 词：糖调节受损 动机谈话 自我效能 社区 疾病管理 

分 类 号：R587.1[医药卫生—内分泌]