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目的:探讨基于跨理论模型的动机性访谈对改善妊娠糖尿病孕妇自我管理行为的应用效果。方法:选取温州市中心医院92例妊娠糖尿病孕妇并随机分组,实验组46例实施基于跨理论模型的动机性访谈,对照组46例实施常规管理,观察并比较各组孕妇自我管理行为的改善效果。结果:实验组自我管理行为量表各项评分均明显高于对照组,实验组各血糖指标水平均明显低于对照组,以上差异均有统计学意义(P<0.05)。结论:妊娠糖尿病孕妇应用基于跨理论模型的动机性访谈,可显著改善其自我管理行为,促进有效控制血糖。
Objective: To explore the application of motivational interview based on cross-theoretical model to improve the self-management behavior of pregnant women with gestational diabetes mellitus. Methods: Ninety-two pregnant women with gestational diabetes mellitus in Wenzhou Central Hospital were randomly divided into two groups. In the experimental group, 46 cases were interviewed based on the inter-theoretical model. 46 cases in the control group were administered routinely. The improvement effect of self-management behavior of pregnant women in each group was observed and compared . Results: The scores of self-management behavior scale in experimental group were significantly higher than those in control group, and the levels of blood glucose in experimental group were significantly lower than those in control group (P <0.05). CONCLUSIONS: Pregnant women with gestational diabetes who use motivational interviews based on a cross-theoretical model can significantly improve their self-management behavior and promote effective control of blood sugar.