| Objective:To compare the application effects of motivational interviewing and conventional health education in nursing intervention for elderly patients with pre-diabetes in community,and to provide reference for disease management of elderly patients with pre-diabetes in the community.Methods:A total of 300 elderly patients with pre-diabetes included in the diabetes of Jiefang Road Community Health Service Center from October 2017 to October 2019 were selected as the research objects.The patients were divided into control group and intervention group according to the random number table,150 cases in each group(8 falls in the control group,142 falls in the control group);The intervention group was associated with 6 cases of abscission and 144 cases completed the study.The control group received routine health education,and the intervention group received motivational interview nursing intervention.Both groups received 3 months of nursing intervention,and whose blood glucose,hemoglobin and other clinical data and scale data were collected at the time point of before intervention,3 months after intervention and 6 months after intervention.Compare two groups of blood glucose control,with periodic change assessment questionnaire,diabetes management self-efficacy scale(C-DMSES),diabetes self-management activity questionnaire(SDSCA),diabetes can assign education scale(CM-DES),diabetic patients survival quality specificity scale(A-DSQL)in patients with periodic change situation,self-efficacy,management behavior,authorization and quality of life.Results:(1)Fasting blood glucose,2h postprandial blood glucose,and hemoglobin in the two groups were significantly reduced over time at different time points.After 3months and 6 months of intervention,fasting blood glucose,2h postprandial blood glucose,and hemoglobin in the intervention group were lower than those in the control group,and the differences were statistically significant.(2)Before the intervention,there was no obvious table look-up for thedistribution of the behavioral stages of patients in the two groups.3 months after the intervention and 6 months after the intervention,the behavioral change stages of patients in the two groups presented changes.The number of patients in the intervention group decreased significantly from unintentional change to stage,and the number of people in each change stage increased significantly.Although the number of people in the change stage of the control group decreased and the number in the change stage increased,the trend was not as obvious as that of the intervention group,it was suggested that the change stage of the intervention group was better than that of the control group.(3)There was no significant difference in the total score of C-DMSES scale and the scores of all dimensions between the two groups.3 months after the intervention,the total score of the C-DMSES scale and the scores of each dimension of the two groups were significantly improved compared with that before the intervention.Compared with the two groups,the total score and the scores of each dimension of the intervention group were higher than those of the control group,showing statistically significant differences.At 6 months after the intervention,the control group improved a little compared with 3 months after the intervention,but the difference was not significant.Compared with the intervention group,the total score and self-efficacy diet,exercise and blood glucose monitoring were significantly increased,the difference was statistically significant.(4)Before intervention,there was no significant difference between the two groups in the dimensions and total scores of SDSCA.After 3 months of intervention,the improvement of each dimension and total score in the control group was statistically significant(P<0.01),except for the score before and after the exercise dimension intervention.Compared with the control group,all dimensions and total scores of the intervention group were significantly higher than those of the control group(P<0.01).After 6 months of intervention,the SDSCA scale scores of the two groups were significantly increased compared with those before intervention,and the increase was statistically significant compared with that after 3 months of intervention.The score of the intervention group was significantly higher than that of the control group,and the difference was significant(5)Before the intervention,there was no difference in the total score of CM-DES scale and the scores of all dimensions in the two groups.After 3 months of intervention,the scores of all dimensions in the two groups were significantly higher than those before the intervention.After 6 months of intervention,the scores of both groups were significantly improved compared with those of the same group before and after 3 months of intervention,and the comparison between the two groups the results showed that the score of the intervention group was higher than that of the control group,with statistically significant difference(P<0.01).(6)Before intervention,there was no significant difference in A-DSQL scores between the two groups(P>0.05),and after intervention,A-DSQL scores of the two groups were higher than those of the control group,with statistically significant difference(P<0.05).Conclusion:Motivational interviewing is aimed at effectively improving patients’ motivation to change behaviors,promoting patients’ participation in disease management,and establishing good health behaviors for patients,so as to improve health-related quality of life. |
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