妊娠期糖尿病孕妇健康教育的效果分析  

作　　者：曾淑兰[1] 邹丹[1] 唐艳颜[1] 张卫华[1] 

机构地区：[1]珠海市妇幼保健院产科,广东珠海519000

出　　处：《现代临床护理》2008年第4期56-59,共4页Modern Clinical Nursing

摘　　要：目的观察健康教育对妊娠期糖尿病(GDM)孕妇血糖控制的效果。方法2005年5月～2006年12月对在本院进行产前检查并分娩的132例GDM孕妇实施健康教育,并比较教育前后孕妇对糖尿病知识掌握情况、行为改变、血糖监测值的变化情况。结果实施健康教育前后孕妇知识掌握率比较,P<0.01,差异有统计学意义;教育后孕妇建立健康行为(饮食控制、适当运动、监测体重、定期血糖监测、定期产检)较教育前人数明显增加,教育前后比较,均P<0.01,差异有统计学意义;教育后血糖监测值(空腹血糖、餐后2h血糖)明显低于教育前血糖值,教育前后比较,均P<0.01,差异有统计学意义。结论健康教育可使GDM孕妇的认知、态度和行为发生变化,提高了孕妇自身健康的维护能力,有效控制血糖水平,减少并发症,保障母婴健康。Objective To study the effect of health education on the control of blood glucose in gravidas with gestational diabetes mellitus. Methods Health education was implemented among 132 diabetic gravidas receiving prenatal examination and delivering in our hospital from May 2005 to December 2006. Then their mastery of diabetes knowledge, the changes in health behavior and the changes in blood glucose were compared between pre- and post-education. Results There was differene in the excellence rates for mastering diabetes knowledge before and after health education （P 〈 0.01）. After education, patients＇ health behaviors （diet control, proper movement, monitoring weight, regular monitoring of blood glucose and regular prenatal examination） were improved markedly （P 〈 0.01） and patients＇ blood sugar level was significantly lower than before education （P 〈 0.05）. Conclusion Health education can change gravidas＇ awareness, attitudes and behavior, improve their self-caring ability, effectively control blood glucose level, lower the incidence of complications and ultimately ensure maternal and child health.

关 键 词：妊娠期糖尿病 孕妇 健康教育 

分 类 号：R473.71[医药卫生—护理学]