动机性访谈在骨科糖尿病患者疾病管理的应用  

Application of motivational interviewing in the disease management of diabetics from department of orthopaedics

作　　者：池丽娜 何美凤[1] 曾雪芬[1] 王静纯 林琳[1] 包永兰[1] 

机构地区：[1]深圳市龙岗区人民医院骨科,广东深圳518172

出　　处：《中国医药科学》2018年第2期117-119,179,共4页China Medicine And Pharmacy

摘　　要：目的探讨动机性访谈在骨科糖尿病患者的应用。方法采用随机数字法将86例患者随机分为观察组和对照组,观察组患者42例,对照组患者44例。对照组患者接受常规护理,而观察组患者接受动机性访谈。然后监测入院时,术后3、6个月后空腹血糖和餐后两小时血糖。结果在干预后,观察组患者的空腹血糖和餐后两小时血糖水平均比对照组低;观察组患者自护评分比对照组患者高,且差异均有统计学意义(P<0.05)。但是两组患者的生存质量比较,差异无统计学意义(P>0.05)。结论动机性访谈个性化护理能够显著控制血糖水平,有助于术后恢复。Objective To explore the application of motivational interviewing in the disease management of diabetics from Department of orthopaedics. Methods 86 patients were randomly divided into observation group（n=42） and control group（n=44）.The patients in the control group were received routine nursing care while the patients in the observation group were interviewed with motivation.Fasting blood glucose and two hours postprandial blood glucose were monitored 3,6 months after operation. Results After intervention,the fasting blood glucose and two hours postprandial blood glucose levels in the observation group were lower than those in the control group.The self-care score in the observation group was higher than that in the control group,and the difference was statistically significant（P 〈 0.05）,but the difference of the quality of life between the two groups was not statistically significant （P 〉 0.05）. Conclusion Individualized nursing care with motivational interviews can significantly control blood glucose levels and contribute to postoperative recovery.

关 键 词：动机性访谈 骨科 糖尿病 护理 

分 类 号：R473.5[医药卫生—护理学]