Objective To investigate the effect of motivational interviewing on self-efficacy and self-management in diabetes patients .Methods The research was an quasi-experimental study ,104 patients were randomly divided into the control group and the intervention group (n=52) ,the control group received general nursing ,while the intervention group received motiva-tional interviewing plus general care .They were evaluated half an year later in order to see the long term effect of motivational interviewing .Results The two aspects food control and preventing unnormal blood surgar level performed statistical differences in self-efficacy before discharge(P< 0.05) .There were no statistical differences in self-management(P> 0.05) .After half a year ,there were no statistical differences in self-efficacy ,setf-management and HBA1c (P>0.05) .Conclusion Motivational in-terviewing can improve self-efficacy in patients with diabetes in short term .%目的：探讨动机性访谈在提升糖尿病患者自我效能及自我管理中的应用效果。方法运用类实验研究方法，将104例糖尿病患者采用随机数字表法将研究对象分为对照组和实验组各52例，对照组给予常规护理教育，实验组在常规护理教育的基础上给予以动机性访谈为基础的护理干预。两组患者出院随访半年，观察动机性访谈在糖尿病患者自我效能及自我管理中的长期效应。结果出院前一天对照组和实验组在自我效能方面饮食控制和预防高低血糖两个维度具有统计学意义（P＜0.05），而两组在自我管理方面无统计学差异（P＞0.05）。随访半年后自我效能，自我管理及糖化血红蛋白几个方面都不存在统计学差异，并且患者对糖化血红蛋白监测的依从性缺乏，这与国内外大多研究不同。结论动机性访谈可在提高糖尿病患者自我效能方面具有短期效应。
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