摘要
目的探讨赋能教育对妊娠期糖尿病(GDM)孕妇疾病管理、自我效能、应对方式及妊娠结局的影响。方法选取2018年6月至2019年6月本院产科收治的120例GDM孕妇为研究对象,随机将其等分为对照组和观察组,对照组实施产科健康指导,观察组实施赋能教育,比较两组干预前后各项疾病管理能力评分、自我效能及应对方式评分以及血糖控制和妊娠结局。结果干预后观察组血糖监测、饮食管理、运动锻炼管理、用药管理、并发症管理及疾病管理总评分均高于对照组(P<0.05)。观察组干预后自我效能评分及面对评分高于对照组(P<0.05),而回避、屈服评分低于对照组(P<0.05)。观察组血糖控制有效率和自然分娩率高于对照组(P<0.05),剖宫产率、巨大儿发生率、产后出血率、宫内窘迫率及新生儿窒息率低于对照组(P<0.05)。结论赋能教育能有效提高GDM孕妇自我效能,使孕妇能积极面对疾病,提高其疾病管理能力,降低不良妊娠结局,值得推广应用。
Objective To explore the effect of empowerment education on disease management,self-efficacy,coping style and pregnancy outcome of pregnant women with gestational diabetes mellitus(GDM).Methods To select 120 cases of pregnant women with GDM who were admitted to the obstetrics department of our hospital from June 2018 to June 2019 was set as the study objects,and they were randomly divided into a control group and an observation group.The control group implemented obstetric health guidance,and the observation group implemented empowerment education to compare the scores of disease management ability,self-efficacy and coping style,blood sugar control and pregnancy outcome of the two groups before and after intervention.Results After the intervention,the total scores of blood glucose monitoring,diet management,exercise management,medication management,complication management and disease management in the observation group were higher than those in the control group(P<0.05).After the intervention,the self-efficacy and coping scores in the observation group were higher than those in the control group(P<0.05),and the avoidance and yield scores were lower than those of the control group(P<0.05).The effective rate of blood glucose control and the rate of natural delivery in the observation group were higher than those in the control group(P<0.05),and the rate of cesarean section,macrosomia,postpartum hemorrhage,intrauterine distress rate and neonatal asphyxia rate were lower than those of the control group(P<0.05).Conclusion The application of empowerment education can effectively improve the self-efficacy of pregnant women with GDM,enable pregnant women to face diseases actively,improve their disease management capabilities,and reduce adverse pregnancy outcomes,which was worth popularizing and applying.
作者
凌敬
张染
LING Jing;ZHANG Ran
出处
《护理实践与研究》
2020年第19期102-105,共4页
Nursing Practice and Research
关键词
赋能教育
妊娠期糖尿病
疾病管理
自我效能
应对方式
妊娠结局
满意率
Empowerment education
Gestational diabetes mellitus
Disease management
Self-efficacy
Coping style
Pregnancy outcome
Satisfaction rate
