糖尿病教育对控制妊娠糖尿病孕妇血糖水平及改善遵医行为的作用  

Effect evaluation of diabetes patient education on blood glucose control and compliance behavior improving in gravidas with gestational diabetes mellitus

作　　者：丛虹[1] 张鹏[2] 胡晓云[1] 

机构地区：[1]山东省即墨市妇幼保健院,266200 [2]山东省青岛市妇女儿童医疗保健中心

出　　处：《中国优生与遗传杂志》2010年第11期85-86,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的研究糖尿病健康教育对妊娠期糖尿病(GDM)孕妇血糖水平的控制情况,同时观察其遵医行为的改善状况。方法选择2008年来我院健康检查并分娩的118例GDM孕妇实施健康教育,2个月后比较教育前后GDM孕妇血糖水平及遵医行为的改善情况。结果实施健康教育后GDM孕妇的空腹血糖、餐后2h血糖值均较教育前明显下降(P<0.01);健康教育后GDM孕妇的遵医行为(控制饮食、适当运动、定期监测体重、定期血糖监测)较教育前明显提高,差别有统计学意义(P<0.01)。结论健康教育可帮助GDM孕妇正确认识妊娠期糖尿病,了解其相关知识,有利于GDM孕妇遵医行为的改善,进而有效的控制血糖水平,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 and improving compliance behavior in gravidas with gestational diabetes mellitus.Methods：Health education was implemented among 118 diabetic gravidas receiving prenatal examination and delivering in our hospital in 2008.Then the changes in compliance behavior and in blood glucose were compared between pre-and post-education after 2 months.Results：The blood glucose level was significantly lower in the post-education group than the pre-education （P 0.01）.After education,compliance behaviors of patients （diet control,proper movement,monitoring weight and regular monitoring of blood glucose） were improved markedly （P 0.01）.Conclusion：Health education can help gravidas understanding GDM and related knowledge,which can improve compliance behavior,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 健康教育 血糖水平 遵医行为 

分 类 号：R714.25[医药卫生—妇产科学]