摘要
目的通过对妊娠期糖尿病(GDM)妇女的健康教育,观察GDM孕妇血糖控制的效果。方法2006年1月—2009年1月对在我医疗中心进行产前检查并分娩的308例GDM孕妇实施健康教育,并比较教育前后孕妇对糖尿病知识掌握情况、行为改变及血糖监测值的变化情况。结果实施健康教育前后孕妇知识掌握情况比较,差异有统计学意义(P<0.01);教育后孕妇建立健康行为(饮食控制、适当运动、监测体重、定期血糖监测及定期产检)较教育前人数明显增加,教育前后比较,差异有统计学意义(P<0.01);教育后血糖监测值(空腹血糖、餐后2h血糖)明显低于教育前血糖值,教育前后比较,差异有统计学意义(P<0.01)。结论健康教育可使GDM孕妇的认知、态度和行为发生变化,提高了孕妇的保健意识,有效地控制了血糖水平,减少了并发症的发生,达到良好的妊娠结局。目的通过对妊娠期糖尿病(GDM)妇女的健康教育,观察GDM孕妇血糖控制的效果。方法2006年1月—2009年1月对在我医疗中心进行产前检查并分娩的308例GDM孕妇实施健康教育,并比较教育前后孕妇对糖尿病知识掌握情况、行为改变及血糖监测值的变化情况。结果实施健康教育前后孕妇知识掌握情况比较,差异有统计学意义(P<0.01);教育后孕妇建立健康行为(饮食控制、适当运动、监测体重、定期血糖监测及定期产检)较教育前人数明显增加,教育前后比较,差异有统计学意义(P<0.01);教育后血糖监测值(空腹血糖、餐后2h血糖)明显低于教育前血糖值,教育前后比较,差异有统计学意义(P<0.01)。结论健康教育可使GDM孕妇的认知、态度和行为发生变化,提高了孕妇的保健意识,有效地控制了血糖水平,减少了并发症的发生,达到良好的妊娠结局。
OBJECTIVE To study the effect of health education on the control of blood glucose in gravidas with gestational diabetes mellitus（GDM）. METHODS Health education was implemented among 308 diabetic gravidas receiving prenatal examination and delivering in our medical center from Jan, 2006 to Jan, 2009. Then their mastery of diabetes knowledge, the changes in health behavior and the changes in blood glucose were compared between pre-education and post-education. RESULTS There was differene in the excellence rates for mastering diabetes knowledge before and after health education（P〈0.01 ）.After education, patients＇ health behaviors （diet control, proper movement, monitoring weight, regular monitoring of blood glucose and regular prenatal examination） were improved markedly （P〈0.01） and patients＇ blood sugar level was significantly lower than before education （P〈0.05）. CONCLUSION Health education can change gravidas＇ awareness, attitudes and behavior, improve their self-caring ability, effectively control blood glucose level, lower the incidence of complications achieve good prengnacy outcom.
出处
《中国初级卫生保健》
2009年第8期45-47,共3页
Chinese Primary Health Care
关键词
GDM
孕妇
健康教育
效果
GDM
pregnant woman
healthy education
effect
