系统护理干预对妊娠期糖尿病患者疾病知识及妊娠结局的影响  

Effects of systematic nursing intervention on disease related knowledge and outcome of pregnancy for women with gestational diabetes mellitus

作　　者：王培红[1] 罗健[2] 程湘玮[1] 罗丽波[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院妇产科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022

出　　处：《护理学杂志》2017年第16期24-26,共3页Journal of Nursing Science

基　　金：湖北省卫生计生委面上项目(WJ2017M091);2016年协和医院药技护专项基金(2017-92)

摘　　要：目的探讨系统护理干预对妊娠期糖尿病孕妇疾病知识和妊娠结局的影响。方法将确诊为妊娠期糖尿病的孕妇200例随机分为两组各100例。对照组实施常规健康教育,观察组实施系统护理干预,包括情感支持、同伴辅助学习、记录饮食和运动日记等。比较两组孕妇糖尿病疾病知识、自我管理行为及妊娠结局。结果观察组糖尿病相关知识、自我管理行为及妊娠结局显著优于对照组(P<0.05,P<0.01)。结论对妊娠期糖尿病孕妇进行系统护理干预,可提高孕妇疾病相关知识及自我管理行为,改善妊娠结局,有利于优生优育。Objective To explore the effects of systematic nursing intervention on disease related knowledge and outcome of pregnan ey for women with gestational diabetes mellitus （GDM）. Methods Totally 200 women diagnosed with GDM were randomized into a control group and an observation group, with 100 women in each group. The control group received routine health education, while the observation group received systematic nursing intervention, which included emotional support, peer-assisted learning, diet re cording and exercise diary, etc. Diabetes related knowledge, selGmanagement behavior and outcome of pregnancy were compared between the two groups. Results Diabetes related knowledge, self management behavior and outcome of pregnancy of the observa tion group were significantly better than those of the control group（P〈0.05, P〈0.01）. Conclusion Systematic nursing interven- tion for women with GDM can enhance their disease related knowledge and self-management behavior, then improve their outcome of pregnancy, thus it is benefit for bearing and rearing better children.

关 键 词：妊娠期糖尿病 同伴辅助学习 饮食日记 运动日记 自我管理行为 疾病知识 妊娠结局 护理 

分 类 号：R473.71[医药卫生—护理学]