认知负荷理论在妊娠期糖尿病患者饮食教育中的应用  

Application of cognitive load theory on diet education in patients with gestational diabetes

作　　者：黄海燕[1] 徐旭娟[1] 张晓义[1] 沈美云[1] 秦玲[1] 

机构地区：[1]南通大学附属医院,江苏南通226001

出　　处：《中国妇幼保健》2013年第36期5936-5938,共3页Maternal and Child Health Care of China

基　　金：南通大学附属医院院级护理科研项目〔Tfh1102〕

摘　　要：目的:探讨认知负荷理论应用于妊娠期糖尿病患者饮食教育中的效果。方法:76例妊娠期糖尿病患者为研究对象,随机分为实验组和对照组,实验组采用基于认知负荷理论的饮食教育程序,对照组采用常规的饮食教育程序。在干预前及干预两个月后对两组患者应用心理负荷、心智努力水平测量量表进行测评。观察患者的血糖水平、孕期增重以及巨大儿发生率。结果:基于认知负荷理论的饮食教育程序能降低患者的心理负荷、心智努力水平,患者的血糖、孕期增重、巨大儿发生率较对照组明显降低,差异有统计学意义(P<0.05)。两组患者的胰岛素使用情况,差异无统计学意义(P>0.05)。结论:基于认知负荷理论的饮食教育程序能提高妊娠期糖尿病患者饮食控制的效果。Objective： To evaluate the effectiveness of cognitive load theory on the diet education in patients with gestational diabe- tes. Methods ： 76 patients were selected and randomly divided into two groups. The experimental group （ n = 38 ） received diet education based on cognitive load theory. The control group （n = 38） received routine gestational diabetes diet education. The level of mental load and mental effort were measured before education and two months after education. Blood glucose, weight gain during pregnancy and the incidence of macrosomia were measured. Results： Diet education based on cognitive load theory reduced the level of mental load and mental effort （ P 〈 0. 05 ） . Blood glucose, weight gain during pregnancy, the incidence of maerosomia in the experimental group were decreased more than control group, and the difference was statistically significant （P 〈 0. 05 ）, while no significant difference was found on the insulin treat- ment （ P 〈 0. 05 ） . Conclusion ： The diet education based on the cognitive load theory is effective for patients with gestational diabetes to improve efficacy of diet control.

关 键 词：认知负荷理论 妊娠期糖尿病 健康教育 

分 类 号：R714.747[医药卫生—妇产科学]