行为转变理论在妊娠期糖尿病孕妇健康教育中的应用效果观察  

Observation on the Effect of Behavior Change Theory in Health Education for Pregnant Women with Gestational Diabetes Mellitus

作　　者：江丽金 王璐 严婕文 叶冉冉 JIANG Lijin;WANG Lu;YAN Jiewen;YE Ranran(Shenzhen Maternal and Child Health Hospital Affiliated to Southern Medical University,Shenzhen,Guangdong,518000)

机构地区：[1]南方医科大学附属深圳妇幼保健院,广东深圳518000

出　　处：《智慧健康》2022年第23期193-196,共4页Smart Healthcare

基　　金：深圳市科技计划项目“基于IMB模型的妊娠期糖尿病孕妇群组保健体系的构建”(课题编号:JCYJ20210324130611032);深圳市妇幼保健院院内科研基金项目“助产士门诊群组围生保健模式的应用研究与效果评价”(课题编号:FYB2018005)

摘　　要：目的探讨行为转变理论在妊娠期糖尿病孕妇健康教育中的应用效果。方法将2020年9月-2021年8月本院收治的102例妊娠期糖尿病孕妇随机分为对照组(n=51)和研究组(n=51),对照组孕妇采取常规健康教育,研究组健康教育中融合行为转变理论,比较两组血糖水平、自我管理效能评分及妊娠结局。结果研究组干预后的空腹及餐后2h血糖值、糖化血红蛋白等指标水平均较对照组更低,差异均有统计学意义(P<0.05);研究组干预后的血糖监测、饮食控制、运动锻炼等自我管理效能评分均较对照组更高,差异均有统计学意义(P<0.05);研究组剖宫产、胎膜早破、羊水过多、巨大儿等相关事件总发生率(29.41%)较对照组(66.67%)更低,差异有统计学意义(P<0.05)。结论针对妊娠期糖尿病孕妇的健康教育融入行为转变理论,有助于改善患者血糖水平,提升孕妇自我管理效能,优化妊娠结局,值得推广。Objective To explore the effect of behavior change theory in health education for pregnant women with gestational diabetes mellitus.Methods 102 pregnant women with gestational diabetes admitted in our hospital from September 2020 to August 2021 were randomLy divided into the control group(n=51)and the study group(n=51).The control group received routine health education,and the behavioral change theory of the study group was used in health education.The blood glucose level,self-management efficacy score and pregnancy outcome of the two groups were compared between the two groups.Results After the intervention,the fasting and 2h postprandial blood glucose and glycosylated hemoglobin levels in the study group were lower than those in the control group(P<0.05);the self-management efficacy scores of blood glucose monitoring,diet control and exercise in the study group were higher than those in the control group(P<0.05);the total incidence of cesarean section,premature rupture of membranes,polyhydramnios and macrosomia in the study group(29.41%)was lower than that in the control group(66.67%)(P<0.05).Conclusion Health education and behavioral change theory for pregnant women with gestational diabetes mellitus can help improve blood glucose level,improve self-management efficacy and optimize pregnancy outcome,which is worthy of promotion.

关 键 词：行为转变理论 妊娠期糖尿病 健康教育 血糖水平 自我管理 

分 类 号：R714.256[医药卫生—妇产科学] R193[医药卫生—临床医学]