动机性访谈对老年糖尿病患者运动行为改变阶段的影响  

Influence of motivational interviewing on the stages of exercise change in elderly patients with diabetes

作　　者：苑记清[1] 范书南[2] 

机构地区：[1]天津医科大学总医院大内科,300052 [2]天津医科大学总医院代谢科,300052

出　　处：《中华现代护理杂志》2015年第8期873-876,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨动机性访谈对老年糖尿病患者运动行为改变阶段干预的效果,为运动管理提供依据。方法采用随机对照研究的方法,选取2012年6月—2013年6月70例老年糖尿病患者作为研究对象,按照随机数字表法分为干预组34例和对照组36例。干预组采用动机性访谈干预,对照组采用单向知识传授型健康教育。干预前及干预后3,6个月分别评估两组患者临床指标的变化及运动行为改变。结果干预前、干预后3,6个月后干预组患者空腹血糖、餐后2 h 血糖、糖化血红蛋白与体质量指数均优于对照组,差异有统计学意义（F 值分别为2.81,27.65,5.89,38.53；P ＜0.05）。干预3,6个月,干预组患者在意图前期、意图期、准备期、行动期与维持期的行为改善优于对照组,差异有统计学意义（Z 值分别为2.123,2.424；P ＜0.05）。结论动机性访谈可提高老年糖尿病患者运动的依从性,并改善其血糖水平。Objective To investigate the effect of motivational interviewing on the stages of exercise change in elderly patients with diabetes, in order to provide evidence for the management of exercise intervention. Methods This was a randomized control study. A total of 70 elderly patients with diabetes were randomly divided into intervention group （34 cases） and control group （36 cases） from June 2012 to June 2013. The intervention group accepted motivational interviewing while the control group underwent conventional health education. Before and after the intervention of three months and six months, the changes of clinical index and motor behavior were assessed. Results Before and after intervention of three and six months, the fasting blood glucose, two hours postprandial glucose, hemoglobin and body mass index in the intervention group were better than those in the control group （F = 2. 81,27. 65,5. 89,38. 53,respectively; P 〈 0. 05）. Three and six months after intervention, behavior improvements of pre-intention stage, intention stage, action stage and maintain stage in the intervention group were better than those in the control group （ Z = 2. 123,2. 424, respectively;P 〈 0. 05）. Conclusions Motivational interviewing intervention can improve exercise compliance in elderly diabetic patients, and improve glycemic control in patients.

关 键 词：糖尿病 2 型 老年人 运动 动机性访谈 

分 类 号：R473.5[医药卫生—护理学]