妊娠期糖尿病患者自护行为及其影响因素调查分析  

Investigation of self-care activities of gestational diabetes mellitus patients and its influencing factors

作　　者：万小红[1] 邹红[1] 黄河清[2] 秦春燕[1] 

机构地区：[1]深圳市宝安区慢性病防治院护理部,518101 [2]深圳市宝安区妇幼保健院护理部,518101

出　　处：《中华现代护理杂志》2013年第11期1283-1285,共3页Chinese Journal of Modern Nursing

基　　金：2012年深圳市科技计划项目（医疗卫生类）立项（201203270）

摘　　要：目的调查妊娠期糖尿病患者自护行为并分析其影响因素，为采取护理干预方法提高其自护行为提供依据。方法采用糖尿病自护行为量表（SDSCA）对产科门诊妊娠期糖尿病患者101例进行问卷调查，分析年龄、文化程度和接受健康教育情况对其自护行为的影响。结果101例患者总体的自护行为得分情况为总体饮食（3．55±0．54）分、具体饮食（3．16±0．72）分、运动（3．32±0．65）分、血糖监测（2．67±0．56）分、足部护理（2．75±0．41）分。不同年龄的患者自护行为得分比较，差异无统计学意义（P〉0．05）；不同文化程度及接受健康教育情况的患者自护行为得分比较，差异均有统计学意义（P〈0．01）。结论妊娠期糖尿病患者的自护行为与文化程度和接受健康教育情况有关，应在临床可控范围内加强对患者的健康教育，从而改善其自护行为。Objective To investigate the self-care activities of gestational diabetes mellitus （GDM） patients and its influencing factors, so as to provide references for nursing intervention to improve their self-care activities. Methods SDSCA was used to investigate 101 outpatient GDM patients and analyze the influence of their age, educational level and health education on their self-care activities. Results The total score of 101 GDM patients＇ self-care activities was （ 3.55 ±0. 54） on overall diet, （ 3. 16 ± 0.72） on specific diet, （ 3.32 ±0. 65 ） on exercise, （2.67 ± 0. 56） on blood sugar monitoring, and （2.75 ± 0.41 ） on feet care. There was no statistically significant difference on self-care activities between patients of different ages （ P 〉 0.05 ）, and there was statistically significant difference on self-care activities between patients of different educational levels and health education （P 〈 0.01 ）. Conclusions Self-care activities of GDM patients is related with their educational level and health education. Therefore, health education should be strengthened in the clinical area to improve their self-care activities.

关 键 词：健康教育 数据收集 妊娠期糖尿病 自护行为 影响因素 

分 类 号：R473[医药卫生—护理学]