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目的观察分析妊娠期糖尿病患者采用动机性访谈干预对患者自我管理能力的影响。方法选取妊娠期糖尿病患者480例为研究对象,数字法随机分为观察组和对照组,各240例。对照组给予常规护理干预,观察组给予2次动机性访谈,观察比较两组患者干预前后自我管理能力改善情况、血糖控制情况及护理满意度情况。结果组间比较,观察组在自我管理行为量表中饮食、运动、血糖监测、足部护理、遵医嘱服药5个维度评分高于对照组,差异均有统计学意义(P<0.05)。干预后观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意率为96.6%,高于对照组的82.6%,差异有统计学意义(χ~2=24.962,P<0.05)。结论动机性访谈干预妊娠期糖尿病孕妇能够有效提高患者自我管理水平,改善血糖控制情况,提高患者护理满意程度,提高母婴的健康水平,值得临床推广应用。
Objective To analyze the influence of motivational interview on gestational diabetes patients’ self-management ability. Methods Forty-eight cases of gestational diabetes mellitus were selected as research objects, and the digital method was randomly divided into observation group and control group, 240 cases each. The control group was given routine nursing intervention. The observation group was given 2 motivational interviews. The improvement of self-management ability, blood glucose control and nursing satisfaction before and after the intervention were observed and compared. Results Among the groups, the scores of diet, exercise, blood glucose monitoring, foot care and compliance with prescription in the observation group were higher than those in the control group (P <0.05). The fasting blood glucose, postprandial 2-h postprandial blood glucose and glycosylated hemoglobin in the observation group after intervention were lower than those in the control group, with significant difference (P <0.05). The total satisfaction rate in the observation group was 96.6%, which was higher than that in the control group (82.6%), the difference was statistically significant (χ ~ 2 = 24.962, P <0.05). Conclusion Motivational interviews with pregnant women with gestational diabetes mellitus can improve self-management, improve blood sugar control, improve patient satisfaction and improve maternal and child health, which is worthy of clinical application.