北京市妊娠期糖尿病孕妇营养认知行为调查  

Nutritional knowledge,attitude,behavior and related factors of gestational diabetes mellitus women in perinatal nutrition clinic in Beijing

作　　者：陶旻枫[1] 游川[1] 于敬龙[2] 姜莹[1] 李东阳[1] 丁辉[1] 

机构地区：[1]首都医科大学附属北京妇产医院北京妇幼保健院保健部,北京100026 [2]北京中医药大学第一临床医学院,北京100700

出　　处：《中日友好医院学报》2017年第3期160-163,共4页Journal of China-Japan Friendship Hospital

基　　金：中国疾病预防控制中心妇幼保健中心项目(2015FYH004)

摘　　要：目的:了解北京市围产营养门诊妊娠期糖尿病(GDM)孕妇对糖尿病相关知识的态度和行为。方法:2016年1月~8月按照地区代表性分层随机抽样方法,抽取城区、郊区妇幼保健院、综合医院共8家围产营养门诊中孕24~28周,首次诊断GDM孕妇和糖耐量正常孕妇,进行问卷调查。结果:收回问卷共470份,GDM组242例、糖耐量正常孕妇(对照组)228例。孕期营养知信行总得分,GDM组孕妇(31.16±2.21)显著低于对照组(36.72±2.4,P<0.05),其中营养知识得分、营养专业知识得分、营养行为得分,GDM组孕妇均显著低于对照组(均P<0.05)。2组营养专业知识和营养行为发生情况存在差异。2组孕妇获取营养知识的途径及意愿存在差异,但均希望从医院微信、孕妇学校及营养门诊讲座获取相关信息。结论:北京市围产营养门诊GDM孕妇对孕期营养普遍重视,但是营养专业知识欠缺、营养行为尚待提高。需对GDM孕妇提供多种形式、精准的营养指导。Objective：To investigate the knowledge,attitude and practice of diabetes mellitus in pregnant women with gestational diabetes mellitus （GDM）in perinatal nutrition clinic in Beijing.nethods：From January to August in 2016,according to the representative method of stratified random sampling,extraction,comprehen- sive urban and suburban hospitals of maternal and child health hospitals,a total of 8 perinatal nutrition clin- ics were entrolled.Women of 242 cases,24-28 weeks of pregnancy and diagnosed as GDM were in GDM group ,other 228 cases of pregnant women with normal glucose tolerance were in control group.Two groups of pregnant women were questionnaired and the answers were compared and analyzed.Results：Pregnancy nutrition KAP score of GDM group（31.16±2.21）was lower than that of the control group（36.72±2.4,P〈0.05）.The nutri- tion knowledge score,nutrition professional knowledge score and nutrition behavior score of GDM group were significantly lower than those of the control group （all P〈0.05）.Significant differences were also seen in both groups about access to nutrition knowledge and their willingness.They want to obtain nutrition knowledge from hospital,WeChat and pregnant women school nutrition clinic lectures etc.Conelusion：GDM pregnant women in perinatal nutrition clinic in Beijing generally pay attention to nutrition during pregnancy,but their professional knowledge of nutrition and nutritional behavior need to be improved.Perinatal nutrition clinics need to provide a variety of forms and precise health education guidance for GDM pregnant women.

关 键 词：妊娠期糖尿病 孕妇 知识 态度 行为 健康教育 

分 类 号：R714.256[医药卫生—妇产科学]