量化健康宣教在妊娠糖尿病患者中的应用效果  

Application effect of health education in gestational diabetes mellitus patients

作　　者：马荣 王凤琴[1] 张丰年[1] 周晓燕[1] MA Rong;WANG Fengqin;ZHANG Fengnian;ZHOU Xiaoyan(Department of Obstetrics,Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院产科,江苏淮安223300

出　　处：《中国医药导报》2024年第11期160-163,共4页China Medical Herald

基　　金：江苏省淮安市自然科学研究计划项目(HAB 202108)。

摘　　要：目的探讨量化健康宣教在妊娠糖尿病(GDM)患者中的应用效果。方法选择2021年1月至2022年12月南京医科大学附属淮安第一医院收治的96例GDM患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组48例。对照组采用常规健康教育,观察组在对照组的基础上予以量化健康宣教。比较两组干预前后自我管理能力、血糖水平;比较两组分娩方式及妊娠结局。结果干预后,两组自我管理能力评分高于干预前,且观察组高于对照组(P<0.05)。干预后,两组空腹血糖及餐后2小时血糖水平低于干预前,且观察组低于对照组(P<0.05)。观察组妊娠高血压、巨大儿发生率低于对照组(P<0.05)。结论量化健康宣教可改善GDM患者自我管理能力、血糖水平,同时有助于减少产妇妊娠高血压及巨大儿的发生率。Objective To explore the application effect of quantifying health education in patients with gestational diabetes mellitus patients(GDM).Methods A total of 96 patients with GDM admitted to Huaian First Hospital Affiliated to Nanjing Medical University from January 2021 to December 2022 were selected as study object,and they were divided into control group and observation group according to random number table method,with 48 cases in each group.The control group received conventional health education,and observation group received quantitative health education on the basis of control group.The self-management ability and blood glucose level before and after intervention were compared;the pregnancy outcomes of two groups were compared.Results After intervention,the score of self-management ability in both groups was higher than that before intervention,and that of observation group was higher than that of control group(P<0.05).After intervention,the levels of fasting blood glucose and 2-hour postprandial blood glucose in both groups were lower than those before intervention,and those of observation group were lower than those of control group(P<0.05).There was no significant difference in delivery mode between two groups(P>0.05);the incidence of hypertension and macrosomia in observation group was lower than that in control group(P<0.05).Conclusion Quantitative health education can improve the self-management ability and blood glucose level of GDM patients,and help reduce the incidence of pregnancy hypertension and macrosomia.

关 键 词：妊娠糖尿病 健康宣教 血糖 妊娠结局 

分 类 号：R473[医药卫生—护理学]