School of Nursing, Yanbian University, Yanji 133002, China
| Abstract: | Objective To evaluate the application effect of cross theoretical model combined motivation interview in diabetes patients. Methods Nine databases including PubMed and clinical trial registration platforms were searched to collect randomized controlled trials related to the application of cross theoretical model combined motivation interview in diabetes patients. The search period was from the database establishment to May 2023. Two researchers independently screened literature, extracted data, and conducted quality evaluations, using RevMan5.4 and Stata17.0 for meta-analysis. The results included a total of 10 articles and 752 patients. Meta-analysis results show that the cross theoretical model combined with motivational interview can reduce fasting blood glucose in diabetes patients [SMD=-0.65, 95% CI (-8.04, -0.45), P<0.01], blood glucose in 2h after meal [SMD=-0.44, 95% CI (-0.74, -0.13), P<0.01], glycosylated hemoglobin [SMD=-0.77, 95% CI (-1.03, -0.52), P<0.01], and improve treatment compliance [RR=1.23, 95% CI (1.10, 1.38), P<0.01], Self-management ability [SMD=1.69, 95% CI (1.25, 2.12), P<0.01], quality of life [WMD=10.31, 95% CI (8.93, 11.69), P<0.01]. Conclusion Cross theoretical model combined with motivational interview can reduce FBG, 2hPG, HbA1c in diabetes patients, and improve treatment compliance, self-management ability, and quality of life. Limited by the number and quality of included studies, the above conclusions need to be verified by more high-quality studies. |
| Keywords: | Trans-theoretical Model; Motivational Interviewing; Diabetes Patients; Blood Sugar; Self-management Ability; Quality of Life |
| DOI: | 10.57237/j.nhres.2023.04.001 |
| [1] | WHO [EB/OL]. (2022-05-27) [2023. 4. 22]. https://www.who.int/zh/news/item/27-05-2022-seventy-fifth-world-health-assembly---daily-update--27-may-2022. |
| [2] | Cole J B, Florez J C. Genetics of diabetes mellitus and diabetes complications [J]. Nat Rev Nephrol, 2020, 16 (7): 377-390. |
| [3] | Cho M K, Kim M Y. Self-Management Nursing Intervention for Controlling Glucose among Diabetes: A Systematic Review and Meta-Analysis [J]. Int J Environ Res Public Health, 2021, 18 (23). |
| [4] | Kumar K M, Saboo B, Rao P V, et al. Type 1 diabetes: Awareness, management and challenges: Current scenario in India [J]. Indian J Endocrinol Metab, 2015, 19 (Suppl 1): S6-S8. |
| [5] | Standards of Medical Care in Diabetes-2017: Summary of Revisions [J]. Diabetes Care, 2017, 40 (Suppl 1): S4-S5. |
| [6] | Li X, Yang S, Wang Y, et al. Effects of a transtheoretical model - based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: a randomized controlled trial [J]. BMC Public Health, 2020, 20 (1): 420. |
| [7] | Wang H, Li D, Xiong Y, et al. Effect of Cross Theoretical Model of Behaviour Change and Motivation Interview on Self-Management Behaviour [J]. J Oncol, 2022, 2022: 3551167. |
| [8] | Hashemzadeh M, Rahimi A, Zare-Farashbandi F, et al. Transtheoretical Model of Health Behavioral Change: A Systematic Review [J]. Iran J Nurs Midwifery Res, 2019, 24 (2): 83-90. |
| [9] | Tseng H M, Liao S F, Wen Y P, et al. Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes [J]. Prim Care Diabetes, 2017, 11 (1): 29-36. |
| [10] | Rains J C, Penzien D B, Lipchik G L. Behavioral facilitation of medical treatment for headache--part II: Theoretical models and behavioral strategies for improving adherence [J]. Headache, 2006, 46 (9): 1395-1403. |
| [11] | Miller W R, Rollnick S. Ten things that motivational interviewing is not [J]. Behav Cogn Psychother, 2009, 37 (2): 129-140. |
| [12] | HIGGINS J P, GREEN S. Cochrane handbook for systematic reviews ofintervention version 5. 1. 0 [EB/OL]. (2011-03-01) [2023. 4. 23]. http://handbook5-1.cochrane.org. |
| [13] | Selçuk-Tosun A, Zincir H. The effect of a transtheoretical model-based motivational interview on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus: A randomized controlled trial [J]. Int J Nurs Pract, 2019, 25 (4): e12742. |
| [14] | 颜萍平, 汤观秀, 高飞, 等. 基于跨理论模型的动机性访谈对老年2型糖尿病患者血糖及自我管理行为的影响 [J]. 中国全科医学, 2016, 19 (15): 1763-1767. |
| [15] | 张丽丹. 基于跨理论模型的动机性访谈对老年2型糖尿病患者的效果分析 [J]. 中国社区医师, 2022, 38 (26): 124-126. |
| [16] | 马沛, 陈慧芳, 刘艳晓. 动机性访谈和跨理论模型在2型糖尿病患者护理干预中的应用 [J]. 临床与病理杂志, 2018, 38 (9): 1963-1969. |
| [17] | 尤晓玲, 李杰, 胡淑芳. 跨理论模型和动机性访谈对长期血糖控制不良2型糖尿病患者治疗依从性及生活质量的影响 [J]. 临床护理杂志, 2015, 0 (3): 5-8. |
| [18] | 陈艳飞, 姚碧君, 叶盈, 等. 基于跨理论模型的动机性访谈对糖尿病前期患者自我管理和血糖的影响 [J]. 护理与康复, 2020, 19 (9): 87-89. |
| [19] | 范玲莉, 刘小凤, 宗小玲. 动机访谈联合行为转变理论对新诊断2型糖尿病患者不良心理状态及治疗依从性的影响 [J]. 当代医学, 2020, 26 (7): 88-90. |
| [20] | 藏艳. 动机性访谈联合跨理论模型对糖尿病患者自我管理、生活质量及血糖水平的影响 [J]. 中华现代护理杂志, 2016, 0 (20): 2912-2915. |
| [21] | 李佳, 王季蓉, 王紧娴. 以TTM为框架的动机性访谈在2型糖尿病患者中的应用 [J]. 国际护理学杂志, 2021, 40 (1): 138-141. |
| [22] | 汪星, 张建凤, 王芳云, 等. 动机性访谈在社区2型糖尿病患者教育中的应用 [J]. 安徽医学, 2011, 32 (12): 2066-2068. |
| [23] | Echouffo-Tcheugui J B, Perreault L, Ji L, et al. Diagnosis and Management of Prediabetes: A Review [J]. JAMA, 2023, 329 (14): 1206-1216. |
We invite active, qualified and high profile scientists and researchers to join as Editorial Board Members.
Join UsScholars with a strong interest in reviewing are invited to join the reviewer panel to ensure the quality of the research to be published.
Join Us