对妊娠期糖尿病患者实施健康教育干预的探讨  

A study on effect of health education to patient with gestational diabetes meHitus

作　　者：高翠霞[1] 黄葶[1] 席萍[1] 郭辉[1] 

机构地区：[1]西安交通大学医学院第一附属医院,陕西西安710061

出　　处：《中国妇幼健康研究》2009年第1期36-37,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨两种不同健康教育方式对妊娠期糖尿病患者治疗效果及母婴合并症的影响。方法将74例妊娠期糖尿病患者随机分为个体健康教育个体组（40例）及集中健康教育团体组（34例）。在应用胰岛素治疗的基础上，分别给予相应的健康教育，2个月后进行随访及生化检测，观察两组患者的空腹及餐后2小时血糖、糖化血红蛋白及并发症发生情况。结果健康教育前，两组患者空腹及餐后2小时血糖、糖化血红蛋白经比较均无显著性差异。实施不同健康教育后，个体组患者空腹血糖、餐后2小时血糖、糖化血红蛋白明显优于团体组（t值分别为3．89、3．34、3．67，均P〈0．05）；低血糖发生率、母婴合并症发生率均显著降低（X2分别为4．012、4．168，均P〈0．05）。结论个体化健康教育可有效地控制血糖，降低相关并发症的发生，且更有效地帮助妊娠期糖尿病患者达到安全分娩的目的。Objective To investigate intervention effects of two patterns of health education on therapeutic effect of patients with gestational diabetes mellitus （ GDM ） and on incidences of maternal and neonatal complications. Methods 74 in-patients with GDM admitted to department of endocrinology in our hospital from June 2007 to June 2008 were randomly divided into individualized health education group （n=40） and centralized health education group （n = 34 ）. On basis of insulin treatment, the patients in the individualized health education group received individualized health education and those in the centralized health education group received group-based health education. After 2 months of intervention, the biochemical indexes including fasting blood glucose, postprandial 2h blood glucose, glycosylhemoglobin （HbAlc）, and incidences of hypoglycemia and maternal complications of all patients were observed and compared. Results Before health education, in all biochemical indexes of the patients there were no significant differences between the two groups. After two patterns of health education, all biochemical indexes and incidences of hypoglycemia and complications of the patients in the individualized health education group were lower than those of the patients in the centralized health education group and the differences were significant （t = 3.89,3.34 and 3.67 respectively, all P 〈 0.05 ）. Conclusion Individualized health education can effectively lower levels of fasting and postprandial 2h blood glucose, HbAlc and reduce incidences of DM-associated complications of the patients with GDM and more effectively guarantee the patients to reach safe delivery.

关 键 词：妊娠期糖尿病 健康教育 血糖 干预 

分 类 号：R714.25[医药卫生—妇产科学] R173[医药卫生—临床医学]