【摘要】 目的探讨运用动机性访谈(MI)对长期血糖控制不良2型糖尿病患者生存质量及其相关因素的影响。方法采用随机对照研究的方法,在某三甲医院内分泌科入住的110例血糖控制不良的2型糖尿病患者为研究对象,分别分为干预组和对照组。干预组采用已制订的MI干预;对照组采用常规的糖尿病教育方法。干预前及干预后6个月分别评估两组患者的体质指数(BMI)、糖化血红蛋白(HbA1c)、胰岛素抵抗(HOMA-IR)、三酰甘油(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、自我管理水平及生存质量。结果干预后6个月干预组和对照组的HbA1c和血脂指标均较基线下降,但两组结果相近,组间差异无统计学意义。干预组的HOMA-IR改善和自我管理水平、生存质量提高优于对照组。结论在改善血糖控制不良2型糖尿病患者HOMA-IR及提高患者自我管理水平方面较常规糖尿病教育方法具有显著优势。更多还原

【Abstract】 Objective To evaluate the effect of motivational interviewing(MI) on the quality of life in type 2 diabetes patients with poor control of blood glucose. Methods Totally 110 inpatients with type 2 diabetes were randomly divided into two groups. The patients in the control group received routine diabetes education,while the patients in the experimental group received motivational interviewing intervention. The patients’ body mass index(BMI),HbA1c,HOMA-IR,TG,HDL-C,LDL-C,self-care behavior and quality of life were measured before interven- tion and six months after intervention. Results The lipid parameters and HbA1c level at six months after inter- vention were lower than baseline in both groups; no significant difference was found between the two groups. The improvement of HOMA-IR,self-care behavior and quality of life was much more significant in MI group. Conclusion Motivational interviewing is more effective than routine diabetes education on the improvement of insulin resistance, self-care behavior and quality of life in type 2 diabetes patients with poor control of blood glucose.更多还原