动机性访谈对血糖增高代谢综合征患者的影响  

Impact of motivational interview on the therapeutic effect of patients with metabolic syndrome associated with the increase of blood glucose

作　　者：王秀芳[1] 

机构地区：[1]博兴县人民医院,山东博兴256500

出　　处：《齐鲁护理杂志》2015年第11期33-35,共3页Journal of Qilu Nursing

摘　　要：目的:探讨动机性访谈对血糖增高代谢综合征患者治疗效果的影响。方法:将100例血糖增高的代谢综合征患者随机分为对照组和观察组各50例,两组均给予利拉鲁肽治疗,观察组进行动机性访谈,疗程均为3个月,比较两组空腹胰岛素、血糖、血脂、血清脂联素等生化指标。结果:治疗后,观察组体质指数(BMI)、腰围(WC)、收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、餐后2 h血糖(2 h PG)、空腹胰岛素(FINS)、甘油三酯(TG)、胆固醇(TC)、高密度脂蛋白-胆固醇(HDL-C)、低密度脂蛋白-胆固醇(LDL-C)等改善情况优于对照组(P<0.05)。结论:动机性访谈对血糖增高的代谢综合征患者临床疗效具有显著的改善作用。Objective ： To discuss the impact of motivational interview on the therapeutic effect of patients with metabolic syndrome asso- ciated with the increase of blood glucose. Methods ： 100 patients with metabolic syndrome associated with the increase of blood glucose were randomly divided into the control group and the observation group（50 cases in each group）. The patients in both groups were treated with Liraglutide, in addition, the motivational interview was carried out in the observation group. The course of treatment was 3 months, and then the biochemical indicators like fasting insulin, blood glucose, blood lipid and serum adiponectin were compared between the two groups. Re- suits ： After the treatment, the improvement of body mass index （ BMI） , waist circumference （ WC ） , systolic blood pressure （ SBP ） , diastolic blood pressure （ DBP）, fasting blood glucose （ FPG）, 2 h postprandial blood glucose （ 2hPG）, fasting insulin （ FINS）, triglyceride （ TG）, cho- lesterol （ TC ）, high density lipoprotein cholesterol（ HDL - C ） , low density lipoprotein cholesterol （ LDL - C ） of the patients was better in the observation group than the control group （ P 〈 0.05 ）. Conclusion ： The motivational interview has a good effect in improving the clinical curative effect in the treatment of patients with metabolic syndrome associated with the increase of blood glucose.

关 键 词：动机性访谈 血糖 代谢综合征 护理 

分 类 号：R473.5[医药卫生—护理学]