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动机性访谈(MI)是以患者为中心的指导性的咨询方式,通过帮助患者暴露和解决其内心的矛盾,来激发其行为改变[1],在西方广泛应用于慢性病领域,本研究运用家属参与动机性访谈技术对2型糖尿病人胰岛素注射行为进行干预,旨促进行为改变.rn1资料与方法1)选取2016年7月～2017年12月80例随机平分为观察组男22例,女18例;年龄(53.00±7.08)岁.对照组男21例,女19例,年龄(55.60±7.03)岁.rn1.Hall K, Gibbie T, Lubman D I.Motivational Interviewing Techniques-Facilitating Behaviour Change in the General Practice Setting.Aust Fam Physician 2012;41 (9) :660-667.rn2.蒋国萍,李荣,赵锡丽.糖尿病患者胰岛素使用相关知识与行为现状的调查分析.当代护士 2002(2):1-3.rn3.Stott NC, Rolinick S, Rees MR, et al.Innovation in clinical method:Diabetes care and negotiating skills.Family Practice 1995;12(4) :413-418rn4.楼青青,杨丽黎,邵爱仙.行为改变与糖尿病.中华护理杂2005;12(40) :935-936.rn5.Christine Beebe.Educating patients with type 2 diabetes.Nursing Clinical of North AM 2001;36(7) :375-387rn6.方芳,陈永红,陈劲松.2型糖尿病病人胰岛素注射依从性影响因素分析.西南国防医药 2010;20(8):923-924.rn7.杨小玲,袁丽,欧青,等.应用胰岛素使用访谈工具改变糖尿病患者胰岛素治疗效果的评价.中华护理杂志 2012;47(11):994-996.rn8.Snoek FJ.Breaking the barriers to optimal glycaemic control:What physicians need to know from patients' perspectives.Int J ClinPract 2002;129S :80-84rn9.Polonsky WH,Fisher L,Gtmaum S ,et al.Psychological insulin resistance in patients with type 2 diabetes: Thescope of the problem.Diabetes Care 2005;28:2543-2545.rn10.Peyrot M.Rubin RR.Laudtzen T,et al.Psychosocial problems and barriers to improved diabetes management: Results of the cross-national diabetes attitudes,wishes and needs(DAWN) study.Diabet Med 2005;22 :1379-1385.