| 基于动机谈话技术的社区糖调节受损者干预效果评价 |
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| 引用本文： | 李秀云,;王丹,;张蓓,;钱志霞,;刘娟,;张丽娜,;周玲,;张开金.基于动机谈话技术的社区糖调节受损者干预效果评价[J].江苏预防医学,2014(3):12-15. |
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| 作者姓名： | 李秀云 ;王丹 ;张蓓 ;钱志霞 ;刘娟 ;张丽娜 ;周玲 ;张开金 |
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| 作者单位： | [1]江苏省南京市鼓楼区模范西路社区卫生服务中心,南京210013; [2]南京医科大学公共卫生学院,南京211166; [3]东南大学公共卫生学院,南京210009 |
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| 基金项目： | 江苏省卫生厅科研基金（Y2012029） |
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| 摘 要： | 目的评价动机谈话技术对社区糖调节受损(IGR)者自我效能、血糖等代谢指标的干预效果。方法采用自身前后对照研究,对某社区卫生服务中心所管理的81例IGR者进行6个月的动机访谈。比较干预前后IGR者饮食、运动、自我监测方面的自我效能得分、血糖水平以及其他代谢指标的变化。结果与干预前相比,IGR者各项目的自我效能得分均提高(P值均0.01);干预后IGR者的血糖、BMI、血压及TG平均水平较干预前均下降,差异均有统计学意义(P值均0.05)。结论动机谈话技术在社区慢性病管理中具有一定的应用价值。
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| 关 键 词： | 糖调节受损 动机谈话 自我效能 社区 疾病管理 |
Efficacy analysis of effects of motivational interviewing techniques on impaired glucose regulation individuals in local communities |
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| Institution: | LI Xiu-yun , WANG Dan, ZHANG Bei, QIAN Zhi-xia, LIU Juan, ZHANG Li-na, ZHOU Ling, ZHANG Kai-jin ( West Mofan Road Community Health Service Center, Nanjing 210013, China) |
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| Abstract: | Objective To evaluate motivational interviewing techniques on self-efficacy,metabolic parameters such as blood glucose level on impaired glucose regulation（IGR）individuals in local communities.Methods A self-controlled study was conducted,81subjects with IGR in a local community health service center received motivational interviewing for 6months,whose self-efficacy on diet,exercise,self-monitoring and metabolic parameters such as blood glucose level were compared before and after intervention.Results After intervention,all self-efficacy targets scores of the IGR individuals increased（P〈.01）; their blood glucose level,BMI,blood pressure and TG level decreased,with significant difference（all P〈.05）.ConclusionMotivational interviewing technique was applicable to manage chronic diseases in local communities. |
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| Keywords: | impaired glucose regulation motivational interviewing self-efficacy community disease management |
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