Themes elicited during motivational interviewing to improve glycaemic control in adults with Type 1 diabetes mellitus

被引：10

作者：

Ridge, K. ^{[1
]}

Treasure, J. ^{[1
]}

Forbes, A. ^{[2
]}

Thomas, S. ^{[3
]}

Ismail, K. ^{[1
]}

机构：

[1] Kings Coll London, Inst Psychiat, London SE5 9RJ, England

[2] Kings Coll London, Florence Nightingale Sch Midwifery, London SE5 9RJ, England

[3] St Thomas Hosp, Ctr Diabet, London, England

来源：

DIABETIC MEDICINE | 2012年 / 29卷 / 01期

关键词：

content analysis; glycaemic control; motivational interviewing; psychotherapy; qualitative; QUALITATIVE RESEARCH; ADOLESCENTS; GUIDELINES;

D O I：

10.1111/j.1464-5491.2011.03384.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims To elicit the barriers and motivators to better diabetes self care in patients with Type 1 diabetes. Methods We obtained a purposive sample of 47 patients with Type 1 diabetes and persistent suboptimal glycaemic control from a randomized controlled trial of nurse-delivered psychological interventions. Each participants second session of motivational interviewing was analysed using content analysis. Results Four major themes emerged: emotions of living with Type 1 diabetes, perceived barriers to diabetes management, motivators for change and methods of coping. Increased assistance and support from family and healthcare teams, the prospect of improved emotional and physical well-being and feelings of success were described as factors that might motivate participants to practice more effective self care. Conclusions An enhanced awareness of the range of psychological concepts in diabetes may enable a better therapeutic relationship between clinicians and patients.

引用

页码：148 / 152

页数：5

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