Intervention Effects Of Motivational Interview On The Self-management Of The Patients With Type2Diabetes

ObjectiveTo evaluate the effects of motivational interviewing for the type2diabeticpatients’(l) self-efficacy,(2) empowerment ability,(3) self-management behavior,(4)blood glucose control.MethodsFrom October2011to September2012,80patiens with type2diabetes who wereextracted conveniently from a third A grade hospital of hengyang city of Hunanprovince were randomly divided into the experimental group(n=40) and controlgroup(n=40). After the baseline evaluations for patients, motivational interview andthe traditional health education and telephone follow-up were used for the patients ofthe experimental group, but only traditional education and telephone follow-up forthose of the control group.The traditional health education involved oneblockveranstaltung learning and three face to face skill learning chances and diabeteshealth education manual learning. Patiens in experimental group received themotivational interview by2nurses who have been trained in motivational interview.which taken for20-30minutes once and it consists of four links such as prologue,introduce, cut to the chase, and make an appointment. The self-efficacy,empowerment ability, self-management behavior and blood glucose control of bothgroups were evaluated before intervention, after3months and6months interventionrespectively. The statistical software SPSSl7.0was used to analyze the collected data,the statistical methods included statistical description, t-test, chi-square test, rank sumtest, profile analysis, repetitive measure anova and so on.Results1There were72patients with type2diabetes (36in the experimental group and36in the control group)who accomplished the whole research process. Before the intervention, the scores of experimental group’s self-efficacy, empowerment andself-management behavior were (18.05±2.49),(60.47±8.07) and (15.72±2.93). thefasting blood glucose, post-meal blood glucose and glycosylated hemoglobin was(9.40±1.44),(12.90±1.79) and (9.58±1.30). while the scores of control group’sself-efficacy, empowerment and self-management behavior were (17.40±3.00),(58.11±7.29) and (16.36±3.17). and the control group’s fasting blood glucose,post-meal blood glucose and glycosylated hemoglobin was (9.40±1.44),(12.90±1.79)and (9.58±1.30)%. there were no significant differences between twogroups(P>0.05).2After3months intervention, the experimental group’s score of self-efficacyempowerment and self-management behavior was higher than that before theintervention(P<0.05), the fasting blood glucose, post-meal blood glucose andglycosylated hemoglobin of the two groups was lower than that before theintervention(P<0.05).The score of the self-efficacy,empowerment andself-management behavior of the experimental group were higher than those of thecontrol group, the blood glucose control of the experimental group were lower thanthose of the control group, and there were all statistical difference(P<0.05).3After3months intervention, the experimental group’s score of self-efficacyempowerment and self-management behavior was higher than that before theintervention(P<0.01), the fasting blood glucose, post-meal blood glucose andglycosylated hemoglobin of the experimental group was lower than that before theintervention(P<0.01). the control group’s score of self-efficacy empowerment andself-management behavior was lower than that before the intervention, but they wereno significantly difference (P>0.05), the fasting blood glucose, post-meal bloodglucose and glycosylated hemoglobin of the control group was higher than thatbefore the intervention, they were not significantly(P>0.05). The score of theself-efficacy, empowerment and self-management behavior of the experimentalgroup was higher than those of the control group, the blood glucose control of theexperimental group was lower than those of the control group, and there were allstatistical difference(P<0.01). ConclusionsMotivational interviewing can improve the self-efficacy, empowerment ablityand self-management behavior of patients with type2diabetes, and it can alsodecrease the blood glucose of patients with type2diabetes. So it is effective fordiabetes self-management which could provide a reference for education of chronicdiseases.