Effect of Motivational Interview on Glucose and Lipid Metabolism Indicators,the Level of Self-efficacy and Self-management in Diabetic Patients

Zhu Ying

doi:10.3969/j.issn.1006-7256.2017.17.009

Abstract：Objective:To explore the effect of motivational interview ( MI) on glucose and lipid metabolism indicators ,self-efficacy and self-management level in diabetic patients .Methods:A total of 70 patients with type 2 diabetes mellitus were randomly divided into the ex-perimental group with 34 cases and the control group with 33 cases,3 patients were excluded from the study because of pulmonary failure or failure to adhere to a interview .The control group received conventional diabetes education intervention ,and the experimental group re-ceived MI intervention.Before the intervention,3 months and 6 months after the intervention,two groups′body mass index(BMI),fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPBG),glycosylated hemoglobin(HbA1c),triglyceride(TG),high density lipopro-tein(HDL-C),low density lipoprotein(LDL-C),diabetes knowledge scale(ADKnowl),diabetes self-efficacy and self-management scale were recorded and compared .Results:3,6 months after the intervention ,the experimental group′s levels of FPG,2 hPBG,HbA1 c were sig-nificantly lower than those of the control group (P<0.05).There was significant difference between two groups on the scores of ADKnowl and self-efficacy and self-management level .The changing rates of FPG ,2 hPBG and HbA 1 c in the experimental group were significantly higher than those of the control group after 6 months intervention(P<0.05).After 3 and 6 months intervention,the changing rates of AD-Knowl and self-efficacy and self-management scale in experimental group was significantly higher than those in control group (P<0.05). Conclusion:MI can improve the level of glucose metabolism and improve the self-management level of patients with type 2 diabetes mellitus.