妊娠期糖尿病患者饮食治疗依从性调查及影响因素研究  

Survey on the Dietary Treatment Compliance and its Influence Factors for Gestational Diabetes Mellitus Patients

作　　者：张丹 罗丽蓉 闵芬梅 刘珈利 ZHANG Dan;LUO Lirong;MIN Fenmei;LIU Jiali(Sichuan Nursing Vocational College,Chengdu,Sichuan 618400)

机构地区：[1]四川护理职业学院,四川成都618400

出　　处：《智慧健康》2022年第10期193-196,共4页Smart Healthcare

摘　　要：目的 分析妊娠期糖尿病(gestational diabetes mellitus, GDM)患者的饮食治疗依从性及有关影响因素。方法 随机抽取2020年3月-2021年3月在龙泉驿区医疗机构就诊的GDM患者总共200例为研究对象,通过门诊对GDM患者进行针对性饮食指导,患者再次返院时,发放、回收饮食治疗依从性调查问卷,依据调查结果将所有患者分成依从性良好组、依从性较差组,对比两组一般资料差异,后将有差异资料带入Logistic回归方程,分析影响GDM患者饮食治疗依从性的主要因素。结果 200名GDM患者的饮食治疗依从性得分是(59.12±5.36)分,包含75例饮食治疗依从性较差,占37.50%(75/200);125例饮食治疗依从性良好,占62.50%(125/200)。依从性较差组和依从性良好组在文化程度、是否在职、月收入以及社会支持水平方面存在显著差异(P <0.05)。将有差异资料带入Logistic回归方程计算,发现文化程度、在职状态、月收入水平、社会支持水平均是影响GDM患者饮食治疗依从性的主要因素。结论 GDM患者的饮食治疗依从性总体不高,较多因素可对其饮食治疗依从性产生影响,需要积极开展饮食知识宣教,以提升其饮食治疗依从性,进而有效控制其血糖水平,减少各类并发症出现,保障母婴健康。Objective To study the dietary treatment compliance and its influence factors for gestational diabetes mellitus(GDM) patients. Methods 200 GDM patients registered to Longguanyi district medical institutions from March 2020 to March 2021 were chosen as research subjects. Patients were advised to follow the specific dietary guides. Upon the reexamination, the dietary treatment compliance questionnaires were delivered and collected. Then patients were divided into good compliance group and poor compliance group. Logistic regression equation was used to analyze the influence factors of dietary treatment compliance. Results The average dietary treatment compliance scores were(59.12±5.36);75 cases had poor compliance(37.50%,75/200) and 125 cases with good compliance(62.50%,125/200). The education degree, working state, monthly income and social support levels between poor compliance group and good compliance group were found to be statistically significant(P < 0.05). Logistic regression equation indicated the major influence factors of dietary treatment compliance included the education degree, working state, monthly income and social support levels. Conclusion GDM patients generally have the poor dietary treatment compliance;therefore, the specific dietary knowledge education is applicable to increase the patient’s dietary treatment compliance,control the blood glucose, reduce the clinical complications and ensure the maternal and child’s health.

关 键 词：饮食治疗依从性 妊娠期糖尿病 影响因素 健康教育 

分 类 号：R714.256[医药卫生—妇产科学]