Application of motivational interviewing combined with phase intervention in patients with diabetic foot
10.3760/cma.j.issn.1674-2907.2018.12.010
- VernacularTitle:动机访谈联合阶段性干预在糖尿病足患者中的应用
- Author:
Ju YUAN
1
;
Yongping HU
;
Chunhui GAO
;
Deqiong BI
;
Xiping ZHANG
Author Information
1. 河南省人民医院内分泌科
- Keywords:
Diabetic foot;
Health behavior;
Motivational interviewing;
Phase intervention
- From:
Chinese Journal of Modern Nursing
2018;24(12):1403-1407
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the change of self-management ability, health behavior intention and self-care ability of patients with diabetic foot (DF) after implementing motivational interviewing combined with phase intervention by taking nursing way. Methods From January 2015 to December 2016, 108 patients with DF treated in He'nan Provincial People's Hospital were selected by convenience sampling as subjects. All of the patients were divided into observation group and control group by the random number table, 54 cases in each group. Patients of control group accepted the educational mode of motivational interviewing. Patients of observation group adopted the educational mode of motivational interviewing combined with phase intervention. The score of self-management ability, change of health behavior intention and score of self-care ability of patients in two groups before and after intervention were compared. Results After intervention, the scores of diet control, reasonable exercise, blood glucose monitoring, smoking status, foot care of patients in observation group were higher than those in control group with significant differences (P< 0.05). The phase distribution of health behavior intention of two groups all improved after intervention. There were 20 and 19 cases in action phase and maintenance phase respectively in observation group more than those in control group with significant differences (χ2=5.684, 4.256; P< 0.05). The self-care ability of patients in two groups all improved after intervention. Moreover, the score of self-care ability of observation group was significantly higher than that of control group (P< 0.05). Conclusions The motivational interviewing combined with phase intervention can improve the ability of self-management and self-care, promote behavior change of patients with DF and improve the quality of life of patients.
