摘要
目的探讨基于行为转变理论的教育模式对妊娠期糖尿病(GDM)乙肝孕妇自我管理行为及血糖控制的影响,为临床健康教育提供参考依据。方法选取2017年2月-2018年2月在南京中医药大学附属南京医院产检的120例确诊为GDM乙肝孕妇作为研究对象,按照随机数字表法将其分为观察组和对照组各60例,最终研究对象为114例,观察组56例,对照组58例。对照组孕妇采用常规的护理方式,观察组孕妇采用基于行为转变理论的教育模式。观察并研究两组孕妇的自我管理行为及血糖控制情况。结果干预后,孕24周、孕28周、孕32周及孕36周观察组孕妇的自我行为管理能力、自我血糖监测及GDM相关知识掌握评分要明显高于对照组孕妇(均P<0.05),孕24周,两组孕妇的饮食控制、血糖监测及运动锻炼等方面的自我管理效能评分差异无统计学意义(均P>0.05),孕28周后,观察组孕妇的饮食控制、血糖监测及运动锻炼等方面的自我管理效能评分要明显高于对照组孕妇(均P<0.05)。孕24周,两组孕妇体内的FPG、2 h PG及Hb Alc的水平差异无统计学意义(均P>0.05),孕28周后,观察组孕妇体内的FPG、2 h PG及Hb Alc的水平要明显低于对照组孕妇(均P<0.05),干预后,观察组孕妇妊娠期高血压疾病、剖宫产、羊水过多及胎膜早破及巨大儿等发生率要明显小于对照组孕妇(均P<0.05)。结论在临床上,基于行为转变理论的教育模式对GDM乙肝孕妇的自我管理行为的提高具有很好的作用,有助于乙肝孕妇的血糖控制。
Objective To explore the effect of educational model based on behavioral transformation theory on self-management behavior and blood glucose control in pregnant women with hepatitis B during pregnancy.Methods A total of 120 pregnant women with hepatitis B diagnosed as gestational diabetes mellitus(GDM)in Nanjing Hospital from February 2017 to February 2018 were selected and divided into two groups according to the random number table:56 cases in study group and 58 cases in control group.The pregnant women in control group were treated with conventional nursing methods,and the pregnant women in study group were given education model based on behavioral transformation theory.The self-management behavior and blood glucose control of pregnant women in the two groups were observed and studied.Results After intervention,the self-management behavior score,self-monitoring score,and disease-related knowledge of pregnant women in study group at 24 weeks of gestation,28 weeks of gestation,32 weeks of gestation,and 36 weeks of gestation were significantly higher than those in control group(P<0.05).At 24 weeks of gestation,there was no significant difference in self-administration efficacy scores of diet control,blood glucose monitoring,and exercise training between the two groups(P>0.05).At 28 weeks of gestation,selfadministration efficacy scores of diet control,blood glucose monitoring,and exercise training of the pregnant women in study group were statistically significantly higher than those in control group(P<0.05).At 24 weeks of gestation,there was no significant difference in the levels of FPG,2 hPG,and Hb Alc between the two groups(P>0.05).At 28 weeks of gestation,the levels of FPG,2 hPG,and Hb Alc in study group were significantly lower than those in control group(P<0.05).After intervention,the incidence rates of hypertensive disorder complicating pregnancy,cesarean section,polyhydramnios,premature rupture of membranes,and macrosomia in study group were significantly lower than those in control group(P<0.05).Conclusi
作者
祁庆
郭秀君
訾涔
QI Qing;GUO Xiu-Jun;ZI Cen(Department of Gynecology and Obstetrics,School of Nursing,Nanjing Hospital,Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210023,China)
出处
《中国妇幼保健》
CAS
2020年第9期1575-1579,共5页
Maternal and Child Health Care of China
基金
江苏省南京市卫生和计生委医学科技发展项目(YKK17174)。
关键词
基于行为转变理论
教育模式
妊娠期糖尿病乙肝孕妇
自我管理行为
血糖控制
Behavioral transformation theory
Education model
Pregnant woman with hepatitis B during pregnancy
Self-management behavior
Blood glucose control
