基于微信平台的动机性访谈策略在中青年2型糖尿病患者中的应用研究  

Application research of motivational interviewing strategy based on WeChat platform in young and middle-aged patients with type 2 diabetes mellitus

作　　者：赵琼玲 秦月兰[2] 李珍[2] 万欢[2] 袁平[2] 汤珂[2] 龚蓓 熊芳[2] 马玲 Zhao Qiongling;Qin Yuelan;Li Zhen;Wan Huan;Yuan Ping;Tang Ke;Gong Bei;Xiong Fang;Ma Ling(Department of Nursing,School of Medicine,Hunan Normal University,Changsha 410006,China;Department of Nursing,the First Affiliated Hospital of Hunan Normal University,Changsha 410005,China)

机构地区：[1]湖南师范大学医学院护理系,长沙410006 [2]湖南师范大学附属第一医院护理部,长沙410005

出　　处：《中华现代护理杂志》2020年第9期1218-1223,共6页Chinese Journal of Modern Nursing

基　　金：湖南省自然科学基金面上项目(2018JJ2224)。

摘　　要：目的探讨基于微信平台的动机性访谈策略对中青年2型糖尿病(T2DM)患者血糖、自我管理行为及痛苦程度的影响。方法采用便利抽样法,选取2018年8—10月在某三级甲等医院内分泌科住院的84例中青年T2DM患者作为研究对象,按随机数字表法分为观察组与对照组,各42例。观察组采用基于微信平台的动机性访谈策略进行干预,对照组进行糖尿病常规教育。评估两组患者干预前及干预后6个月的血糖、自我管理行为及痛苦程度。结果干预6个月后,观察组患者的血糖、自我管理行为及痛苦程度均优于对照组,差异有统计学意义(P<0.01)。结论基于微信平台的动机性访谈策略可以改善中青年T2DM患者的血糖水平及自我管理行为,减轻痛苦程度,能够为居家和延续性护理的发展提供参考依据。Objective To explore the effects of motivational interviewing strategy based on WeChat platform on blood glucose,self-management behavior and pain degree in young and middle-aged patients with type 2 diabetes mellitus(T2DM).Methods The convenience sampling method was used to select a total of 84 young and middle-aged patients with T2DM who were admitted to Department of Endocrinology of a ClassⅢGrade A hospital from August to October 2018 as the research objects.According to the random number table,all patients were divided into the observation group and the control group with 42 cases in each group.The observation group was given the motivational interviewing strategy based on WeChat platform for intervention.The control group received routine diabetes education.Before and 6 months after the intervention,the blood glucose,self-management behavior and pain degree of the patients in the two groups were evaluated.Results After 6 months of intervention,the patients'blood glucose,self-management behavior and pain degree were all better than those in the control group,and the differences were statistically significant(P<0.01).Conclusions The motivational interview strategy based on WeChat platform can improve the blood glucose level and self-management behavior of young and middle-aged T2DM patients,reduce the degree of pain,and provide a reference for the development of home care and continuous care.

关 键 词：糖尿病 2型 中青年 微信 动机性访谈 血糖水平 糖尿病痛苦 自我管理行为 

分 类 号：R473[医药卫生—护理学]