交互分析模式团体教育在妊娠期糖尿病患者中的应用效果  

Application of group education with an interactive analysis mode in women with gestational diabetes mellitus

作　　者：王司娥[1] 

机构地区：[1]济南市中心医院妇产科,250013

出　　处：《中华现代护理杂志》2017年第26期3379-3382,共4页Chinese Journal of Modern Nursing

基　　金：山东省医药卫生科研计划项目（2016BS08420）

摘　　要：目的 探讨交互分析模式团体教育在妊娠糖尿病患者中的应用效果.方法 选取2016年1—6月于济南市中心医院接受治疗的98例妊娠期糖尿病患者为研究对象,按照随机数字表法分为两组,每组各49例.对照组患者进行常规健康教育及心理干预,观察组患者进行交互分析模式团体教育.孕周14-21周进行干预,每周进行1次,持续8周.比较两组患者空腹血糖及餐后2 h血糖水平、患者自我管理行为评分、患者及新生儿妊娠结局.结果 干预前两组患者平均空腹血糖、平均餐后2 h血糖差异均无统计学意义（P＆gt;0.05）;干预8周后,观察组患者平均空腹血糖为（5.03±0.51）mmol/L、平均餐后2 h血糖为（6.07±0.61）mmol/L;对照组患者平均空腹血糖为（5.51±0.47）mmol/L、平均餐后2 h血糖为（7.65±0.53）mmol/L,干预后两组平均空腹血糖、平均餐后2 h血糖差异均有统计学意义（t值分别为2.479、2.596;P〈0.05）.干预前两组患者自我管理态度评分、饮食依从性评分、运动准确性评分差异无统计学意义（P＆gt;0.05）,干预后观察组患者自我管理态度评分、饮食依从性评分、运动准确性评分高于对照组,两组差异均有统计学意义（P〈0.05）.干预后观察组患者自然分娩数量及比例高于对照组患者,差异有统计学意义（P〈0.05）.结论 交互分析模式团体教育可以有效提高患者自我管理行为水平,改善患者妊娠结局.Objective To explore the application effect of group education with an interactive analysis mode in women with gestational diabetes mellitus. Methods A total of 98 women with gestational diabetes mellitus,treated in Ji＇nan Central Hospital from January to June in 2016,were selected and divided into two groups according to random number table,each with 49 cases. Patients in the control group were treated with routine health education and psychological intervention,while patients in the observation group received group education with an interactive analysis mode. Intervention was conducted to these pregnant women for eight weeks during gestational week 14 to 21,and one time for a week. Patients in the two groups were compared about their fasting blood glucose,2 h postprandial blood glucose,scores of self-management behavior,and pregnancy outcome of the patients and the newborns. Results Before the intervention,difference of average fasting blood glucose and 2 h postprandial blood glucose between patients in the two groups showed no statistical significance （P ＆gt; 0.05）. After the 8-week intervention,average fasting blood glucose and average 2 h postprandial blood glucose in the observation group was（5.03±0.51）mmol/L and（6.07±0.61）mmol/L,while in the control group, （5.51±0.47）mmol/L and（7.65±0.53）mmol/L（t=2.479,2.596;P〈0.05）. Before the intervention,difference of scores in self-management attitude,diet compliance and exercise accuracy between patients in the two groups showed no statistical significance（P＆gt;0.05）. After the intervention,scores of self-management attitude, diet compliance and exercise accuracy in the observation group were all higher than those in the control group （P 〈 0.05）. After the intervention,there were more natural delivery in the observation group than the control group（P 〈 0.05）. Conclusions Implementing group education with an interactive analysis mode can effectively improve self-management behavior level of the patients and pregnancy

关 键 词：糖尿病 妊娠 健康教育 交互分析模式 团体教育 

分 类 号：R473.71[医药卫生—护理学]