动机谈话对社区糖调节受损人群健康行为改变及转归的影响  

Impact of motivational interviewing on improving health behavior change and outcomes in people with impaired glucose regulation

作　　者：李秀云 王丹[2] 张蓓 张璐 周鸿雁 刘娟 周玲[2] 张开金[3] 

机构地区：[1]南京市鼓楼区模范西路社区卫生服务中心,江苏南京210013 [2]南京医科大学公共卫生学院流行病与卫生统计学系 [3]东南大学公共卫生学院

出　　处：《护理学杂志》2014年第21期77-80,共4页

基　　金：江苏省卫生厅科研基金项目(Y2012029)

摘　　要：目的探讨动机谈话(MI)技术对社区糖调节受损(IGR)人群目标健康行为改变及IGR转归的影响。方法将160例新诊断的IGR人群随机分为干预组和对照组各80例。干预组采用MI技术帮助患者建立健康行为,对照组采用常规健康教育。结果干预1年后,干预组7个目标健康行为中的控制总热量、运动处于行动期和维持期的比例显著高于对照组(P<0.05,P<0.01);干预组空腹血糖和口服葡萄糖耐量试验2h血糖平均下降水平高于对照组(P<0.05);干预组糖调节正常转化率(55.8%)高于对照组(36.6%),差异有统计学意义(P<0.05)。结论 MI技术在促进IGR者健康行为改变方面较常规健康教育更具有优势,可使糖调节受损向正常转化。Objective To explore the effect of motivational interviewing （MI） on improving health behavior change and outcomes in people with impaired glucose regulation（IGR）. Methods One hundred and sixty newly diagnosed subjects with IGR were randomly assigned to an intervention group and a control group of 80 receiving either MI or traditional health education to adopt healthy be- haviors respectively. Results Of the 7 target healthy behaviors, ＂total calories control＂ and ＂exercise＂ showed significant differences in the proportions of subjects who were in the action and maintenance stages after one year intervention, with the intervention group higher than the control group （P〈0. 05 ,P〈0. 01）. Greater decreases in the fasting plasma glucose and 2-hour blood glucose after oral glucose tolerance test （OGTT） were observed in the intervention group than the control group （P〈0.05）. The rate of conversion from IGT to normal glucose tolerance was 55.8 % in the intervention group and 36.6 % in the control group, with sig- nificant difference between them （P〈0.05）. Conclusion The motivational interviewing is more effective than the traditional health education on improving health behavior change in subjects with IGR, and it facilitates to convert from IGT to normal glucose tole- rance.

关 键 词：糖调节受损 动机谈话 健康行为 健康教育 社区 

分 类 号：R473.2[医药卫生—护理学]