Abstract

Objective To investigate the effect of motivational interviewing on the stages of exercise change in elderly patients with diabetes, in order to provide evidence for the management of exercise intervention. Methods This was a randomized control study. A total of 70 elderly patients with diabetes were randomly divided into intervention group (34 cases) and control group (36 cases) from June 2012 to June 2013. The intervention group accepted motivational interviewing while the control group underwent conventional health education. Before and after the intervention of three months and six months, the changes of clinical index and motor behavior were assessed. Results Before and after intervention of three and six months, the fasting blood glucose, two hours postprandial glucose, hemoglobin and body mass index in the intervention group were better than those in the control group (F=2.81, 27.65, 5.89, 38.53, respectively; P<0.05). Three and six months after intervention, behavior improvements of pre-intention stage, intention stage, action stage and maintain stage in the intervention group were better than those in the control group (Z=2.123, 2.424, respectively; P<0.05). Conclusions Motivational interviewing intervention can improve exercise compliance in elderly diabetic patients, and improve glycemic control in patients. Key words: Diabetes mellitus, type 2; Elderly; Movement; Motivational interviewing

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