摘要
目的:探讨线上孕妇学校联合回授法健康教育在妊娠期糖尿病(GDM)孕妇中的应用效果。方法:将83例GDM孕妇采用随机数字表法分组,对照组(41例)实施常规的围产期健康教育;观察组(42例)基于线上孕妇学校联合回授法进行健康教育。比较两组GDM孕妇干预前后的自我管理能力、血糖水平及妊娠结局。结果:干预后观察组GDM孕妇自我管理得分(96.2±7.6)分,高于对照组(62.5±6.0)分(P<0.05);空腹血糖(4.82±0.36)mmol/L、餐后2h血糖(5.82±0.29)mmol/L均低于对照组的(5.94±0.39)mmol/L、(6.88±0.37)mmol/L(均P<0.05);剖宫产(4.7%)、妊娠期高血压(2.4%)、新生儿低血糖发生率(0)均低于对照组(19.5%、17.1%、12.2%)(均P<0.05)。结论:线上孕妇学校联合回授法健康教育可提高GDM孕妇的自我管理能力,有效改善血糖控制水平和妊娠结局。
Objective:To explore the application effect of s the education in the school for pregnant women combined with health education based on teaching back in pregnant women with gestational diabetes mellitus(GDM).Methods:.83 pregnant women with GDM were grouped by random numbers.41 women in the control group were given routine perinatal health education,and 42 women in the observation group were given education in the school for pregnant women combined with health education based on teaching back.The self-management ability,the blood glucose level,and the pregnancy outcomes of the women with GDM before and after intervention were compared between the two groups.Results:The self-management score(96.2±7.6 points)of the women in the observation group after interven-tion was significantly higher than that(62.5±6.0 points)of the women in the control group(P<0.05).The levels of fasting plasma glucose(4.82±0.36 mmol/L)and 2h postprandial blood glucose(5.82±0.29 mmol/L)of the women in the observation group after intervention were significantly lower than those(5.94±0.39 mmol/L and 6.88±0.37 mmol/L)of the women in the control group(all P<0.05).The rates of cesarean section(4.7%),the gestational hyperten-sion(2.4%),and the neonatal hypoglycemia(0)of the women in the observation group were significantly lower than those(19.5%,17.1%,and 12.2%)of the women in the control group(all P<0.05).Conclusion:The education in the school for pregnant women combined with health education based on teaching back for the women with GDM can improve their self-management ability and improve their blood glucose control level and pregnancy outcomes effectively.
作者
张晶
蔡锋成
施锦金
ZHANG Jing;CAI Fengcheng;SHI Jinjin(Hangzhou Obstetrics and Gynecology Hospital,Hangzhou,Zhejiang Province,310006)
出处
《中国计划生育学杂志》
2023年第5期1215-1219,共5页
Chinese Journal of Family Planning
基金
杭州市医药卫生科技计划项目(A20220046)。
关键词
线上孕妇学校
回授法
妊娠期糖尿病
自我管理
健康教育
Online school for pregnant women
T eaching back method
Gestational diabetes mellitus
Self-manage-ment
Health education
