The effectiveness of motivational interviewing per Hemoglobin A1C control level in poor control type 2 diabetes mellitus patients
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Abstract
This study was a quasi-experimental research with repeated measurement groups. The objective was compare glucose control in HbA1c of patients before and after receiving the motivation interviewing program, developed from short consultation to strengthen motivation that 4 times per 4 months, 5-10 minutes each time. This program have 3 steps: 1)engagement 2)fight out and strengthen and 3)advice with menu. The population were patients receiving diagnosis is a type 2 diabetes and has a glucose test in HbA1c of the outpatient department in 70 hospitals under the Ministry of Public Health and had selected to 253 samples who voluntary. Performed during November 2015-2016. It was found that 31.2 % were aged 60–69 years. After the end of the sixth month found that HbA1c sugar dropped to 180 people (71.1 %), decreasingly changed the control level 101 people (39.9 %), and the mean glucose levels in HbA1c between before and after the second follow - up were significantly different at .05 level. Consistent with many researches that use motivational interview to drive internal motivation leading to behavior modification. Should bring this program to training for nurses in the diabetes clinic department to complete 100% to help control the glucose level of patients better.
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