基于计划行为理论的妊娠期糖尿病俱乐部健康教育模式效果评价  

Effects assessment of gestational diabetes mellitus club health education model based on theory of planned behavior

作　　者：黄蓉[1] 万宏伟 侯燕文[1] 朱静[2] 沈莹[1] 陈燕[1] 

机构地区：[1]同济大学附属第一妇婴保健院产科病房,上海200040 [2]同济大学附属第一妇婴保健院供应室,上海200040 [3]上海市质子重离子医院护理部,201315

出　　处：《中华现代护理杂志》2015年第15期1741-1744,共4页Chinese Journal of Modern Nursing

基　　金：上海市卫生局科研课题（20134344）;上海市浦东新区卫生局卫生（计生）科技项目（PW2013D-8）

摘　　要：目的：探讨基于计划行为理论而建立的妊娠期糖尿病俱乐部健康教育模式的效果。方法通过方便抽样法,选择2013年8—12月进行产前检查、孕22~28周被诊断为妊娠期糖尿病（ GDM）的60例孕妇作为研究对象。通过简单随机分组法之摸球法,将摸到单号的30名孕妇纳入干预组,参加妊娠期糖尿病俱乐部；将摸到双号的30名孕妇纳入对照组,接受常规健康教育。观察两组孕妇干预前后空腹血糖及餐后2h血糖、糖尿病知识问卷与自我效能得分情况。结果干预后干预组患者空腹血糖与餐后2 h血糖分别为（4.99±0.31）,（7.89±0.93）mmol/L,优于对照组,差异有统计学意义（t=-2.11,-2.08；P〈0.05）。干预组患者糖尿病知识问卷总分（25.70±2.72）分,高于对照组,差异有统计学意义（t=4.18,P〈0.01）；干预组较对照组孕妇对饮食管理、运动管理、血糖控制等方面更有信心,差异有统计学意义（P〈0.05）。结论以计划行为理论为基础的妊娠期糖尿病俱乐部健康教育形式为GDM孕妇提供了切实可行、有理论依据的健康教育方式,值得临床推广。Objective To explore the effects of gestational diabetes mellitus （ GDM） club health model based on theory of planned behavior （ TPB） . Methods By convenient sampling method, we selected 60 patients who were diagnosed as GDM when they had prenatal examination during gestational 22 weeks to 28 weeks as research sampling from August to December in 2013. According to touch ball method of simple random sampling method, 30 GDM patients with single number took part in GDM club as experimental group while another 30 GDM patients with double number involved routine health education as control group. The fasting blood glucose （ FBG） , 2 h postprandial blood glucose （2 h PBG）, diabetes mellitus knowledge scale and self-efficacy had been observed and compared before and after intervention. Results After the intervention, the FBG and 2 h PBG were （4. 99 ± 0. 31）, （7. 89 ± 0. 93） mmol/L in the experimental group, which were better than those of the control group （t= -2. 11, -2. 08, respectively;P 〈 0. 05）. The total score of diabetes mellitus knowledge scale was （25.70 ±2.72） in the experimental group,which was higher than that of the control group （t =4. 18,P 〈0. 01）;the gravida of the experimental group had more confidence at diet management, excise management, blood glucose control than the control group （P〈0. 05）. Conclusions GDM club health education based on TPB can provide a feasible and theoretical health education method （ club type） for GDM, and it is worthy of clinical promotion.

关 键 词：糖尿病 妊娠 健康教育 计划行为理论 

分 类 号：R473.71[医药卫生—护理学]