CAJ | 학술논문

目的：探讨动机性访谈在提升糖尿病患者自我效能及自我管理中的应用效果。方法运用类实验研究方法，将104例糖尿病患者采用随机数字表法将研究对象分为对照组和实验组各52例，对照组给予常规护理教育，实验组在常规护理教育的基础上给予以动机性访谈为基础的护理干预。两组患者出院随访半年，观察动机性访谈在糖尿病患者自我效能及自我管理中的长期效应。结果出院前一天对照组和实验组在自我效能方面饮食控制和预防高低血糖两个维度具有统计学意义（P＜0.05），而两组在自我管理方面无统计学差异（P＞0.05）。随访半年后自我效能，自我管理及糖化血红蛋白几个方面都不存在统计学差异，并且患者对糖化血红蛋白监测的依从性缺乏，这与国内外大多研究不同。结论动机性访谈可在提高糖尿病患者自我效能方面具有短期效应。
목적：탐토동궤성방담재제승당뇨병환자자아효능급자아관리중적응용효과。방법운용류실험연구방법，장104례당뇨병환자채용수궤수자표법장연구대상분위대조조화실험조각52례，대조조급여상규호리교육，실험조재상규호리교육적기출상급여이동궤성방담위기출적호리간예。량조환자출원수방반년，관찰동궤성방담재당뇨병환자자아효능급자아관리중적장기효응。결과출원전일천대조조화실험조재자아효능방면음식공제화예방고저혈당량개유도구유통계학의의（P＜0.05），이량조재자아관리방면무통계학차이（P＞0.05）。수방반년후자아효능，자아관리급당화혈홍단백궤개방면도불존재통계학차이，병차환자대당화혈홍단백감측적의종성결핍，저여국내외대다연구불동。결론동궤성방담가재제고당뇨병환자자아효능방면구유단기효응。
Objective To investigate the effect of motivational interviewing on self-efficacy and self-management in diabetes patients .Methods The research was an quasi-experimental study ,104 patients were randomly divided into the control group and the intervention group (n=52) ,the control group received general nursing ,while the intervention group received motiva-tional interviewing plus general care .They were evaluated half an year later in order to see the long term effect of motivational interviewing .Results The two aspects food control and preventing unnormal blood surgar level performed statistical differences in self-efficacy before discharge(P< 0.05) .There were no statistical differences in self-management(P> 0.05) .After half a year ,there were no statistical differences in self-efficacy ,setf-management and HBA1c (P>0.05) .Conclusion Motivational in-terviewing can improve self-efficacy in patients with diabetes in short term .