The Efficacy of Motivational Interviewing on Glycemic Control for Patients with Diabetes

Abstract

Abstract: Diabetes mellitus (DM) is increasingly becoming a major chronic disease affliction all over the world and its prevalence in Egypt has increased quickly within a relatively short period from nearby 4.4 million in 2007 to 7.5 million in 2013. It has no known cure and is a chief cause of morbidity and mortality. Motivational interviewing (MI) may help to empower patients with diabetes to make changes in their lifestyle leading to better control of their diabetes. The Main Objective; of this study was to evaluate the efficacy of motivational interviewing on glycaemic control for patients with diabetes. The Research Hypothesis; motivational interviewing has a positive effect on glycemic control for patients with diabetes. The Study Subjects consisted of 93 patients diagnosed with diabetes mellitus at the outpatient clinic at Ain Shams University Hospitals, Cairo, Egypt. The tools of data collection were: 1) Patient’s assessment and clinical data sheet, 2) Patient's knowledge assessment sheet, and 3) Diabetes readiness to change questionnaire. The results exposed that there were statistically significant differences for patients under study in relation to the patient's level of knowledge, patient’s readiness to change and glycemic control throughout motivational interviewing implementation. In conclusion; improvement was obvious in the level of knowledge, patients' readiness to change, and reduction of blood sugar of patients under study after attending the motivational interviewing intervention. Recommendation: nurses have an active role in eliciting behaviour change in high-risk lifestyle behaviours as diabetes mellitus.