[动机面试干预对2型糖尿病患者的自我效能,自我护理行为和血糖控制的影响]
Hung-Yen Wu1, Shu-Ming Chen2, Pei-Ling Wang3
1MSN, RN, Department of Nursing, Kaohsiung Armed Forces General Hospital, Taiwan, ROC.
Hu li za zhi The journal of nursing
|November 20, 2023
概括
动机面试显著改善了2型糖尿病患者的自我效能和自我护理行为,从而改善了血糖控制. 这种干预为改善糖尿病管理结果提供了一个有希望的方法.
科学领域:
- 内分泌学 在内分泌学.
- 行为医学是一种行为医学.
- 护理 护理 护理
背景情况:
- 动机对于糖尿病管理至关重要,但干预措施往往无法促进行为改变.
- 现有的提高患者在糖尿病护理中的动机的方法需要改进.
研究的目的:
- 评估激励面试对2型糖尿病患者自我效能,自我护理行为和血糖控制的影响.
- 在临床环境中评估结构化激励面试干预措施的有效性.
主要方法:
- 一项随机对照试验,涉及112名2型糖尿病患者,分别被分配到激励采访组或对照组.
- 实验组在三个月内接受了六次50分钟的激励面试,以及通常的护理.
- 在干预前和后收集了关于自我有效性,自我护理行为和糖基化血红蛋白水平的数据.
主要成果:
- 与对照组相比,激励采访干预组在自我有效性和自我照顾行为方面显著改善 (p < .001).
- 与基线和对照组相比,接受激励采访的患者显示,糖化血红蛋白水平显著降低 (p < .001).
- 该干预还导致糖尿病自我管理的变化阶段发生了显著的积极转变 (χ2 = 43.89,p < .001).
结论:
- 激励面试是一种有效的策略,可以提高2型糖尿病患者的自我效能,自我护理行为和血糖控制.
- 将动机面试技巧整合到护理教育中,可以使护士有能力提高患者的动机和血糖管理.
- 这种干预措施支持患者在出院前获得必要的自我血糖控制技能,促进持续的健康结果.
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