保护动机理论宣教对改善GDM孕妇自护能力、血糖及妊娠结局效果  

Effect of protective motivation theory applied in early education for improving the self-care ability,blood glucose level,and pregnancy outcomes of pregnant women with gestational diabetes mellitus

作　　者：邵琦 郑建娣[1] 陈芳芳 SHAO Qi;ZHENG Jiandi;CHEN Fangfang(Hangzhou Red Cross Hospital,Hangzhou,Zhejiang Province,31000)

机构地区：[1]浙江省杭州市红十字会医院,310000

出　　处：《中国计划生育学杂志》2023年第9期2044-2048,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨保护动机理论指导宣教对妊娠期糖尿病(GDM)孕妇自护能力、血糖水平及不良妊娠的影响.方法:选取本院2020年10月-2023年3月收治的GDM孕妇92例,随机分为常规组和干预组各46例,分别进行常规宣传教育或保护动机理论指导,观察两组脐血流动力学指标、空腹血糖(FPG)、餐后两小时血糖(2hPG)、糖化血红蛋白(HbAlc)水平,对妊娠应对态度、自我护理能力评分(ESCA)及不良妊娠结局.结果:干预后,干预组脐血流动力学指标收缩期末血流速度(Vs)低于常规组,舒张期末血流速度(Vd)高于常规组,FPG、2hPG、HbAlc水平低于常规组(均P<0.05);积极应对评分(29.06±5.33分)高于常规组(26.93±4.68分),消极应对评分(8.39±1.26分)低于常规组(10.52±1.18分),ESCA各项评分均高于常规组,并发症总发生率(8.7%)低于常规组(34.8%)(均P<0.05).结论:保护动机理论指导的早期宣教可增强GDM产妇自护能力,积极应对妊娠,有效改善GDM孕妇脐血流动力学指标、血糖水平,降低不良妊娠发生,具有较好的临床应用效果.Objective:To explore the effects of protective motivation theory applied in early education for treating pregnant women with gestational diabetes mellitus(GDM)on their self-care ability,blood glucose level,and pregnancy outcomes.Methods:92women with GDM were selected and were randomly divided into two groups(46cases in each group)from October 2020to March 2023.The women in the study group were added protective motivation theory in the education,and the women in the control group were given routine education.The indexes of cord blood flow dynamics,the levels of fasting blood glucose(FPG),2hours postprandial blood glucose(2hPG),and glycosylated hemoglobin(HbAlc),the pregnancy coping attitude,the self-care ability score(ESCA),and the incidence of adverse pregnancy of the women in the two groups were observed.Results:The end-systolic blood flow velocity(Vs)of the women in the study group after intervention was significantly lower than that of the women in the control group,and the end-diastolic blood flow velocity(Vd)of the women in the study group after intervention was significantly higher than that of the women in the control group.The levels of FPG,2hPG,and HbAlc of the women in the study group were significantly lower than those of the women in the control group(all P<0.05).The positive coping score(29.06±5.33points)of the women in the study group was significantly higher than that(26.93±4.68points)of the women in the control group,the negative coping score(8.39±1.26points)of the women in the study group was significantly lower than that(10.52±1.18points)of the women in the control group,and the ESCA score of the women in the study group was significantly higher than that of the women in the control group.The overall complication rate(8.7%)of the women in the study group was significantly lower than that(34.8%)of the women in the control group(P<0.05).Conclusion:Protective motivation theory applied in early education for treating pregnant women with GDM can enhance their self-care ability,promote the women p

关 键 词：妊娠期糖尿病 早期宣教 保护动机理论 自我护理能力 血糖 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]