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目的动机访谈路线图对糖尿病患者血生化指标及自我效能的影响。方法选取本院2012年3月~2013年2月收治的60例糖尿病患者作为对照组,实施传统护理方案。选取本院2013年3月~2014年2月收治的68例糖尿病患者作为研究组,在对照组的基础上开展动机访谈路线图进行护理干预。比较两组干预前后的血生化指标、自我效能总分及6个维度得分。结果研究组干预后的空腹血糖、餐后2 h血糖、糖化血红蛋白及BMI水平显著低于对照组,差异有统计学意义(P<0.05)。研究组干预后的各项自我效能评分显著高于对照组,差异有统计学意义(P<0.05)。结论在糖尿病患者中应用动机访谈路线图能够改善其血生化指标及提高自我效能,可取得良好的经济效益与社会效益,值得临床推广应用。
Effect of Motivation Interview Roadmap on Blood Biochemical Index and Self - efficacy in Diabetic Patients. Methods Sixty patients with diabetes mellitus, who were treated in our hospital from March 2012 to February 2013, were selected as the control group to carry out the traditional nursing plan. Sixty-eight patients with diabetes mellitus admitted to our hospital from March 2013 to February 2014 were selected as the study group. Based on the control group, a motivational interview roadmap was used to carry out nursing intervention. The biochemical indexes, self-efficacy scores and six dimensions before and after the intervention were compared between the two groups. Results The levels of fasting blood glucose, postprandial 2-hour postprandial blood glucose, glycosylated hemoglobin and BMI in study group were significantly lower than those in control group (P <0.05). The self-efficacy score of the study group after intervention was significantly higher than that of the control group, with significant difference (P <0.05). Conclusion The application of the motivational interview roadmap in diabetic patients can improve its blood biochemical parameters and improve self-efficacy, which can achieve good economic and social benefits and is worthy of clinical promotion and application.