摘要
目的探计妊娠期糖尿病(GDM)患者的全程健康教育对妊娠结局的影响。方法选取2012年1月至2013年5月期间在西安交通大学医学院第一附属医院产科门诊定期进行产前检查和住院分娩的妊娠期糖尿病患者76例,随机分为实验组和对照组,每组各38例。实验组在常规妊娠期糖尿病治疗的基础上由专人负责进行全程健康教育,对照组进行常规妊娠期糖尿病的治疗。结果实验组患者饮食控制的依从性明显高于对照组,两组比较差异有统计学意义(x^2=21.387,P<0.05);实验组的巨大儿发生率、剖宫产率、新生儿窒息率均低于对照组,两组比较差异均有统计学意义(x^2值分别为4.253、4.266、4.259,均P<0.05)。结论加强妊娠期糖尿病患者的全程健康教育可以提高其饮食控制的依从性,降低各种围产期并发症的发生率,显著改善孕产妇及新产儿的结局。
Objective To investigate the influence of health education for the whole process on pregnancy outcomes of patients with gestational diabetes mellitus （ GDM ） .Methods This survey was made on 76 cases of GDM who took regular antenatal examination in outpatient clinic of obstetrics from January 2012 to may 2013 and delivered in the First Affiliated Hospital of Medical College of Xi ＇ an Jiaotong University .They were randomly divided into experiment group and control group with 38 cases in both groups .The experiment group was given health education for the whole process based on routine clinical treatment and care , while the control group was provided with regular treatment and care only .Results The compliance of the experiment group on alimentary control was obviously higher than the control group, and the difference was significant （χ^2 =21.387,P〈0.05）.The incidence of fetal macrosomia, cesarean section, and neonatal asphyxia of the experiment group was lower than that of the control group , and there were significant differences （χ^2 value was 4.253, 4.266 and 4.259, respectively, all P〈0.05）.Conclusion Strengthening the health education on the patients with GDM can improve the compliance of alimentary control , so that the incidence of all kinds of perinatal complications can be reduced and the maternal and fetal outcomes can be improved remarkably .
出处
《中国妇幼健康研究》
2013年第5期777-779,共3页
Chinese Journal of Woman and Child Health Research
关键词
妊娠期糖尿病
健康教育
膳食指导
母儿并发症
gestational diabetes mellitus （GDM）
health education
alimentary guidance
maternal and fetal complications
