以互动达标理论为指导的延续性护理结合知信行干预对妊娠期糖尿病患者血糖控制及健康行为的影响  

Influences of continuous nursing guided by interactive attainment theory combined with knowledge,belief and behavior intervention on blood glucose control and healthy behavior in patients with gestational diabetes mellitus

作　　者：孟秋芳 王亚萍 郭娜 MENG Qiufang;WANG Yaping;GUO Na(Obstetrics Department,Southern Branch of People's Hospital of Tongchuan,Tongchuan 727100,China)

机构地区：[1]铜川市人民医院南院产科,陕西铜川727100

出　　处：《临床医学研究与实践》2024年第14期177-180,185,共5页Clinical Research and Practice

摘　　要：目的研究以互动达标理论为指导的延续性护理结合知信行干预对妊娠期糖尿病(GDM)患者血糖控制及健康行为的影响。方法择取2020年3月至2022年3月收治的80例GDM患者为研究对象,随机将其分为对照组和观察组,每组40例。对照组采用常规护理干预,观察组在对照组基础上加施以互动达标理论为指导的延续性护理结合知信行干预。比较两组的干预效果。结果干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)水平及糖化血红蛋白(HbA1c)低于对照组(P<0.05);观察组的血糖控制达标率高于对照组(P<0.05)。干预后,观察组的健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)各维度评分高于对照组(P<0.05)。干预后,观察组的自我护理能力测定量表(ESCA)各维度评分高于对照组(P<0.05)。结论以互动达标理论为指导的延续性护理结合知信行干预不仅能够有效改善GDM患者血糖控制及健康行为,还能提高其自护能力。Objective To study the influences of continuous nursing guided by interactive attainment theory combined with knowledge,belief and behavior intervention on blood glucose control and healthy behavior in patients with gestational diabetes mellitus(GDM).Methods A total of 80 GDM patients admitted from March 2020 to March 2022 were selected as the study objects and randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given continuous nursing guided by interactive attainment theory combined with knowledge,belief and behavior intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the levels of fasting blood glucose(FBG),2-hours postprandial blood glucose(2 h PBG)and glycosylated hemoglobin(HbA1c)in the observation group were lower than those in the control group(P<0.05);the blood glucose blood glucose control compliance rate of the observation group was higher than that of the control group(P<0.05).After intervention,the scores of each dimension of Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).Conclusion The continuous nursing guided by interactive attainment theory combined with knowledge,belief and behavior intervention can not only effectively improve the blood glucose control and health behavior of GDM patients,but also improve their self-care ability.

关 键 词：互动达标理论 延续性护理 知信行 妊娠期糖尿病 血糖控制 健康行为 

分 类 号：R473[医药卫生—护理学]