Dogru Ayse, Ovayolu Nimet, Ovayolu Ozlem
Kastamonu University Tosya Vocational College, Kastamonu.
Department of Nursing, Faculty of Health Science, University of Kyrenia, Cyprus.
J Pak Med Assoc. 2019 Mar;69(3):294-300.
To evaluate the effect of motivational interviewing on diabetics related to perceived self-management and metabolic variables.
The randomised controlled and experimental study was conducted at a public hospital located in the city of Gaziantep in Turkey and comprised diabetes patients attending the outpatient clinic of endocrinology and metabolic diseases from April to July 2015. The subjects were randomised into two equal intervention and control groups. Four motivational interviewing sessions, each of which took about 15-20 minutes, were conducted by a nurse to the intervention group. Data was collected using a questionnaire and the Perceived Diabetes Self-Management Scale.
Of the 60 subjects, there were 30 (50%) in ach of the two groups. The perceived self-management perception mean score of the intervention group was 17.1 } 5.6 at baseline and increased to 35.0 } 4.1 postintervention (p<0.05). Mean scores of body mass index, fasting and postprandial blood glucose, glycated haemoglobin, cholesterol, triglyceride, low density lipoprotein cholesterol and systolic and diastolic blood pressures of subjects in the intervention group decreased after the intervention, and their high density lipoprotein cholesterol mean scores increased (p<0.05).
Motivational interviewing technique positively affected the metabolic control indicators of the diabetes patients and increased their perceived self-management.
评估动机性访谈对糖尿病患者自我管理认知及代谢变量的影响。
本随机对照实验研究在土耳其加济安泰普市的一家公立医院开展，纳入了2015年4月至7月在该院内分泌与代谢疾病门诊就诊的糖尿病患者。将受试者随机分为两个相等的干预组和对照组。由一名护士对干预组进行四次动机性访谈，每次访谈约15 - 20分钟。通过问卷调查和糖尿病自我管理认知量表收集数据。
60名受试者中，两组各有30名（50%）。干预组自我管理认知的基线平均得分为17.1 ± 5.6，干预后升至35.0 ± 4.1（p<0.05）。干预组受试者的体重指数、空腹及餐后血糖、糖化血红蛋白、胆固醇、甘油三酯、低密度脂蛋白胆固醇以及收缩压和舒张压的平均得分在干预后下降，高密度脂蛋白胆固醇平均得分上升（p<0.05）。
动机性访谈技术对糖尿病患者的代谢控制指标有积极影响，并提高了他们的自我管理认知。
