妊娠期糖尿病产妇产褥期健康管理期望与感知的现状分析  

Current situation of health management expectation and perception in puerperal women with gestational diabetes mellitus

作　　者：董晗琼 韩颖[1] 李丹[1] 姜金霞[2] DONG Hanqiong;HAN Ying;LI Dan;JIANG Jinxia(Delivery Room,Shanghai Tenth People′s Hospital,Shanghai 200072,China;Department of Emergency,Shanghai Tenth People′s Hospital,Shanghai 200072,China)

机构地区：[1]上海市第十人民医院产房,上海200072 [2]上海市第十人民医院急诊科,上海200072

出　　处：《中国妇幼健康研究》2023年第4期22-26,共5页Chinese Journal of Woman and Child Health Research

基　　金：上海市科技计划项目(20TR122637)。

摘　　要：目的探讨分析妊娠期糖尿病(GDM)产妇产褥期健康管理期望与感知的现状。方法选取2019年5月至2020年4月我院收治的100例GDM产妇为研究对象,收集其临床资料、产褥期健康管理期望与感知调查问卷、自我管理能力评分。分析不同临床资料的GDM产妇产褥期健康管理期望与感知评分;采用Logistic回归分析影响GDM患者产褥期健康管理期望与感知评分差异的相关因素;Pearson相关法分析自我管理能力评分与健康管理期望及感知评分的相关性。结果GDM产妇产褥期健康管理方式的期望与感知评分分别为(61.21±3.37)分、(60.19±3.01)分。GDM产妇不同学历水平、产次、是否早产、新生儿体重之间的产褥期健康管理期望与感知评分差异有统计学意义(t值为2.478~5.129,P<0.05),在年龄、分娩方式、新生儿喂养情况、孕妇孕早、中晚期每周体重增长等方面的差异无统计学意义(t值为0.230~1.848,P>0.05)。Logistic回归分析显示,新生儿低体重(OR=3.846,95%CI:1.646~8.986)、早产(OR=4.768,95%CI:1.674~13.581)均为影响GDM产妇产褥期健康管理期望与感知评分差异的独立危险因素。Pearson相关分析显示,自我管理能力评分与健康管理期望、感知评分均呈显著正相关(r值分别为0.328、0.289,P<0.05)。结论不同GDM产妇产褥期的健康管理期望与感知存在一定差异,临床应加大对GDM产妇产褥期健康管理的知识宣教,满足其期望与需求,提高产妇自我管理能力。Objective To explore and analyze the current situation of health management expectation and perception in puerperal women with gestational diabetes mellitus(GDM).Methods A total of 100GDM pregnant women admitted to our hospital from May 2019to April 2020were selected as the study subjects,and their clinical data,puerperal health management expectation and perception questionnaire,and self-management ability score were collected.The scores of health management expectation and perception in puerperal women with GDM and different clinical data were analyzed.The influencing factors of health management expectation and perception in puerperal women with GDM were analyzed by Logistic regression analysis.The correlation between self-management ability scores and health management expectation and perception scores was analyzed by Pearson correlation analysis.Results The expectation and perception scores of maternal health management in puerperal women with GDM were(61.21±3.37)scores and(60.19±3.01)scores,respectively.There were statistically significant differences in the expectation and perception scores of puerperium health management among GDM parturients with different educational levels,parity,whether they were premature or not,and neonatal weight(t=2.478-5.129,respecftively,P<0.05).There were no significant differences in age,delivery mode,neonatal feeding,weekly weight gain in early,middle and late pregnancy(t=0.230-1.848,respecftively,P>0.05).Logistic regression analysis showed that low birth weight(OR=3.846,95%CI:1.646-8.986)and preterm birth(OR=4.768,95%CI:1.674-13.581)were the independent risk factors affecting the difference of expectation and perceived score of puerperium health management in women with GDM.Pearson correlation analysis showed that self-management ability score was significantly positively correlated with health management expectation and perception score(r=0.328and 0.289,respectively,P<0.05).Conclusion There are certain differences in health management expectation and perception among puer

关 键 词：妊娠糖尿病 产褥期 健康管理 期望 感知 

分 类 号：R173[医药卫生—妇幼卫生保健]