动机访谈在中青年2型糖尿病患者运动干预中的应用  

Application of motivation interview in exercise intervention for young and middle aged type 2 diabetes patients

作　　者：王玉萍[1] 杨雁 陶静[1] 高莲莲[1] 刘清华 叶春俐 徐蓉[2] Wang Yuping;Yang Yan;Tao Jing;Gao Lianlian;Liu Qinghua;Ye Chunli;Xu Rong(Department of Endocrinology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院内分泌科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2023年第24期28-31,共4页Journal of Nursing Science

摘　　要：目的探讨动机访谈在中青年2型糖尿病患者运动干预中的应用效果。方法将住院中青年2型糖尿病患者82例采用随机数字表法分为两组各41例,对照组实施常规运动教育及随访,观察组采用基于动机访谈的运动教育方案干预。观察两组运动自我效能和运动行为阶段指标。结果观察组出院4周运动自我效能、运动行为阶段指标提升显著优于对照组(均P<0.05)。出院12周后,观察组的运动自我效能、运动行为阶段提升及血糖控制指标显著优于对照组(均P<0.05)。结论基于动机访谈的运动教育能提高中青年2型糖尿病患者运动自我效能及运动依从性。Objective To explore the application effect of motivational interview in exercise intervention for young and middle aged type 2 diabetes patients.Methods Eighty two young and middle-aged inpatients with type 2 diabetes were randomized into a control group and an intervention group by using a random number table,with 41 cases in each group.The control group was given routine exercise education and follow-up,while the intervention group received exercise education based on motivation interview.Exercise self-efficacy and exercise behavior stage indicators of the two groups were observed.Results The intervention group had significantly better improvements in exercise self-efficacy and exercise behavior stage indicators at 4 weeks after discharge(all P<0.05).And at 12 weeks after discharge,the exercise self-efficacy,exercise behavior stage indicators,and blood glucose control indicators in the intervention group were significantly better than those in the control group(all P<0.05).Conclusion Exercise education based on motivation interview can improve the exercise self-efficacy and exercise compliance of young and middle aged patients with type 2 diabetes.

关 键 词：2型糖尿病 中青年 运动干预 动机访谈 健康教育 行为阶段转变理论 血糖控制 自我效能 

分 类 号：R473.5[医药卫生—护理学]