动机谈话技术在提高社区糖尿病患者生活质量中的应用  

Application of motivational interviewing in improving the quality of life of diabetic in community

作　　者：吴小勇 温海波 邱小灵 

机构地区：[1]东莞市虎门社区卫生服务中心,广东东莞523000

出　　处：《赣南医学院学报》2015年第2期222-224,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：东莞市科技计划项目:(编号:201310515000423)

摘　　要：目的:探讨动机谈话技术对提高社区糖尿病患者生活质量的影响。方法:在虎门社区选取糖尿病患者600例,随机分为对照组(300例)和干预组(300例),对照组进行常规诊治,干预组辅予动机谈话技术为核心的综合干预,实验前后分别应用世界卫生组织生存质量测定简表对所有患者进行生活质量评估及检测糖化血红蛋白,所收集数据用统计学方法比较两者之间差异。结果:与对照组相比干预组糖尿病患者生活质量在多个方面明显提高,差异有统计学意义(P<0.05);干预组糖化血红蛋白降低值要优于对照组,差异有统计学意义(P<0.05)。结论:应用动机谈话技术为核心的综合干预能够更有效控制血糖及提高社区糖尿病患者的生活质量。Objective： To investigate the effect of motivational interviewing techniques in improving the quality of life in patients with diabetes. Methods： Selected diabetics（ 600 cases） in Humen community were randomly divided into control group（ 300 cases） and intervention group（ 300 cases）,the control group was given routine treatment,the intervention group received the motivational interviewing technique with comprehensive intervention,using the WHOQOL-BREF to evaluate the stroke patient＇s life quality before and after the experiment,analyzing the differences by statistical method. Results： The quality of life in the intervention group was better than that of the control group,the difference was statistically significant（ P〈0. 05）,and the decreased value of glycosylated hemoglobin in the intervention group was superior to the control group. Conclusion： The motivational interviewing technique comprehensive intervention can effectively control the blood glucose and improve the quality of life in patients with diabetes.

关 键 词：动机谈话 糖尿病 生活质量 糖化血红蛋白 世界卫生组织生存质量测定简表 

分 类 号：R587.1[医药卫生—内分泌]