CAJ | 학술논문

目的：探讨动机性访谈式健康教育对糖尿病患者自我效能的影响。方法选取2013年1—6月120例2型糖尿病患者作为研究对象,按照随机数字表法随机分为研究组和对照组,每组各60例。对照组由糖尿病专科护士给予传统健康教育与电话随访,研究组在此基础上实施一对一的动机性访谈式健康教育。应用一般资料问卷和糖尿病管理自我效能量表( DMSES)于干预前、干预后第3个月及第6个月评价动机性访谈式健康教育的效果。结果干预前两组患者DMSES总分比较,差异无统计学意义(P>0.05)。干预后第3,6个月后研究组患者DMSES总分分别为(20.13±3.78),(24.93±4.38)分,均高于对照组,差异有统计学意义(t值分别为4.397,11.716；P<0.05)。干预前、干预3个月与干预6个月后研究组DMSES总分比较,差异有统计学意义(F=81.850,P<0.05)。结论动机性访谈式健康教育可以提高2型糖尿病患者的自我效能。
목적：탐토동궤성방담식건강교육대당뇨병환자자아효능적영향。방법선취2013년1—6월120례2형당뇨병환자작위연구대상,안조수궤수자표법수궤분위연구조화대조조,매조각60례。대조조유당뇨병전과호사급여전통건강교육여전화수방,연구조재차기출상실시일대일적동궤성방담식건강교육。응용일반자료문권화당뇨병관리자아효능량표( DMSES)우간예전、간예후제3개월급제6개월평개동궤성방담식건강교육적효과。결과간예전량조환자DMSES총분비교,차이무통계학의의(P>0.05)。간예후제3,6개월후연구조환자DMSES총분분별위(20.13±3.78),(24.93±4.38)분,균고우대조조,차이유통계학의의(t치분별위4.397,11.716；P<0.05)。간예전、간예3개월여간예6개월후연구조DMSES총분비교,차이유통계학의의(F=81.850,P<0.05)。결론동궤성방담식건강교육가이제고2형당뇨병환자적자아효능。
Objective To evaluate the effect of health education through motivational interviewing on the self-efficacy of diabetes patients. Methods From January to June in 2013, 120 patients with type 2 diabetes who were extracted conveniently from our hospital were randomly divided into the experimental group ( n=60 ) and control group (n=60). Diabetes specialist nurses who had been trained in motivational interview were the interviewers. After the baseline evaluations for patients, motivational interview, the traditional health education and the telephone follow-up were used for the patients in the experimental group, but only traditional education and telephone follow-up for those in the control group. The self-efficacy and the Diabetes Management Self-Efficacy Scale was evaluated before intervention, after 3 months and 6 months intervention respectively. Results Before the intervention, the score of self-efficacy was not significantly different between the two groups (P>0. 05). After 3 and 6 months intervention, the total scores of self-efficacy in the experimental group were (20.13 ±3.78) and (24.93 ±4.38), which were significantly higher than those before the intervention (t=4. 397, 11. 716, respectively;P <0. 05). Compared with the scores before the intervention, the scores of the self-efficacy were significantly different after 3 and 6 months intervention (F = 81. 850,P < 0. 05). Conclusions Health education through motivational interviewing can improve the self-efficacy of patients with type 2 diabetes.