ITHBC理论护理联合健康宣教对妊娠糖尿病患者健康行为的影响  

Effect of ITHBC Theoretical Nursing Combined Health Education on Health Behavior of Gestational Diabetes Patients

作　　者：余燕琼 YU Yanqiong(Department of Obstetrics and Gynecology,Jinjiang Maternal and Child Health Hospital,Quanzhou 362200,China)

机构地区：[1]晋江市妇幼保健院妇产科,泉州362200

出　　处：《中国医药指南》2024年第15期161-163,共3页Guide of China Medicine

摘　　要：目的 探究在对妊娠糖尿病患者护理时开展健康行为改变整合理论(ITHBC)护理+健康宣教对患者血糖水平以及健康行为的影响。方法 在2021年10月至2023年9月本院门诊接诊妊娠糖尿患者中选择103例为研究对象,通过Excel表对患者开展随机0~103号排序,前50例在妊娠期间接受常规护理(对照组),后53例则接受ITHBC理论护理联合健康宣教(观察组)。针对患者健康行为、血糖水平、不良妊娠结局等进行统计。结果 对糖化血红蛋白、餐后2 h血糖水平、空腹血糖水平检测,护理前两组无统计学意义(P>0.05),护理后观察组低于对照组(P<0.05)。对比患者健康行为,在健康促进生活方式量表(HPLP-Ⅱ)评分上,护理前两组各维度评分无统计学意义(P>0.05),护理后观察组高于对照组(P<0.05)。在产后出血、胎盘早剥、早产发生率方面,观察组低于对照组(P<0.05)。结论 在妊娠糖尿病患者妊娠期间开展ITHBC理论护理联合健康宣教可以降低患者血糖水平,提升患者健康行为,降低不良妊娠结局发生率。Objective To explore the effect of integrated theory of health behavior change(ITHBC)nursing+health education on blood glucose level and health behavior of pregnant women with diabetes.Methods From October 2021 to September 2023,103 pregnant women with gestational diabetes were selected as the study subjects in our outpatient department.The patients were randomly ranked from 0 to 103 using an Excel table.The first 50 patients received routine care during pregnancy(control group),while the last 53 patients received combined health education on theoretical nursing with ITHBC(observation group).Conduct statistics on patient health behaviors,blood sugar levels,and adverse pregnancy outcomes.Results There was no difference in glycated hemoglobin,postprandial 2-hour blood glucose levels,and fasting blood glucose levels before nursing intervention(P>0.05),while the observation group was lower than the control group after nursing intervention(P<0.05).Comparing the health behaviors of patients,there was no difference in the scores of the Health Promotion Lifestyle Inventory(HPLP-II)before nursing(P>0.05),while the observation group was higher than the control group after nursing(P<0.05).The incidence of postpartum hemorrhage,placental abruption,and premature birth in the observation group was lower than that in the control group(P<0.05).Conclusions Carrying out ITHBC theoretical nursing and health education during pregnancy of pregnant diabetes patients can reduce the blood sugar level of patients,improve their health behavior,and reduce the incidence of adverse pregnancy outcomes.

关 键 词：妊娠糖尿病 健康行为改变整合理论 健康宣教 健康行为 

分 类 号：R714.256[医药卫生—妇产科学] R473.71[医药卫生—临床医学]