Study On Effects Of Motivational Interview In The Type2Diabetic Patients With Long-term Poo Glucose Control

Objective1. To observe and evaluate the type2diabetic patients with long-term poor glucose control:diabetes knowledge level, diabetic metabolism parameters, self-behaviors and psychologic status.2. To discuss the value of Motivational Interview (MI) for the type2diabetic patients with long-term poor glucose control.MethodsThe patients in the hospital who meet research standard were collected from May2013to September2013.120patients were randomly divided into control group(n=60) and MI group(n=60). Baseline data was recorded before intervention. Two groups accepted traditional health education and telephone follow up. In addition, MI group accepted motivational interview. Glycometabolism parameters (fasting blood glucose,2h postprandial blood glucose, HbAlc), lipid parameters (TC, TG, HDL-c, LDL-c) and rating scales (ADKnowl、2DSCS、SDS) were recorded after3months and6months intervention. The changes of all parameters before and after intervention between control and MI groups were analyzed. The statistical methods included t-test, chi-square test, rank test, analysis of varianceResults:After6months intervention,10patients in control group and7patients in MI group were lost visitation. There was no difference between two groups on baseline data and all parameters. The results after intervention are follow up:1. After3months and6months intervention, the fasting blood glucose,2h postprandial blood glucose and HbAlc levels were decreased significantly. ADKnowl and2DSCS scores were higher and SDS was lower in MI group than control group. 2. Self-comparison before and after intervention in control and MI groups.(1) Compared with pre-intervention, the fasting blood glucose in two groups were decreased significantly after3months and6months intervention.2h postprandial blood glucose in MI group was decreased after3months and6months, but only after6months in control group. HbAlc in control group was no difference before and after intervention. HbAlc in MI group were decreased after3months and6months intervention. There was no difference between3months and6months after intervention.(2) ADKnowl,2DSCS, SDS:compared with pre-intervention, there was no difference after intervention in control group. ADKnowl、2DSCS scores were higher and SDS scores was lower after3months and6months intervention. SDS scores after6months was lower significantly than that after3months.3. After3months and6months intervention:(1) In MI group, the decreasing degreed of fasting blood glucose was greatest. The next was2h postprandial blood glucose. The last was HbAlc (P<0.01). The decreasing degreed of three parameters of6months intervention was no difference compared with that of3months.(2) In MI group, the decreasing degreed were no difference among ADKnowl,2DSCS and SDS scores. The decreasing degreed of SDS after6months intervention was greater than that after3months intervention.Conclusion:1. MI reduces fasting blood glucose,2h postprandial blood glucose and HbAlc levels after3months and6months intervention for the type2diabetic patients with long-term poor glucose control. The effects on fasting blood glucose is greatest.2. MI improves significantly diabetes knowledge level, self-care ability and depression for the type2diabetic patients with long-term poor glucose control. Depression is improved more obviously with time extending.3. MI has no effect on TC, TG, HDL-c and LDL-c for the type2diabetic patients.