个体化健康教育对妊娠糖尿病患者血糖及自我管理能力的影响.docVIP

个体化健康教育对妊娠糖尿病患者血糖及自我管理能力的影响 　　[摘要] 目的 评价个体化健康教育对妊娠糖尿病患者血糖及自我管理能力的影响。方法 对49例妊娠糖尿病患者采用个体化健康教育方式进行教育指导，采用糖尿病患者自我管理行为量表评价患者自我管理水平，定期检测血糖、糖化血红蛋白等指标，观察治疗前后血糖、糖化血红蛋白的变化。 结果 43例患者干预后血糖、糖化血红蛋白较干预前明显改善，自我管理水平均较干预前明显提高（P0.05），6例患者经治疗后血糖控制不满意，加用胰岛素治疗。 结论 健康教育对妊娠糖尿病患者尤为重要，个体化教育可以提高妊娠糖尿病患者自我管理水平，改善血糖控制状况。 　　[关键词] 妊娠糖尿病；个体化；健康教育；自我管理 　　[中图分类号] R714.256 [文献标识码] B [文章编号] 1674-4721（2013）11（c）-0148-02 　　The effects of individual health education on blood glucose and self management in patients with gestational diabetes mellitus 　　SI Lian1 DING Xun2 WANG Li-na1 LIU Jia1 　　1.Department of Endocrinology and Metabolism， the Key Laboratory of Diabetes， the Third Hospital of Nanchang City in Jiangxi Province， Nanchang 330009，China；2.Department of Nutrition， the Third Hospital of Nanchang City in Jiangxi Province， Nanchang 330009，China 　　[Abstract] Objective To explore the effects of individual health education on blood sugar and self management in patients with gestational diabetes mellitus（GDM）. Methods 49 cases of GDM patents was given education and guidance by individual health education method， diabetes self-management behavior scale evaluation was adopted to evaluate self management level， then blood sugar， glycosylated hemoglobin， and other indicators were tested to observe the changes before and after the treatment. Results After the intervention， the control rate of blood glucose and glycosylated hemoglobin self management level in 43 patients were improved significantly （P 0.05）， while， 6 patients with unsatisfied blood glucose control were given insulin therapy. Conclusion Health education is particularly important in patients with GDM， individual education can improve self-management level and blood glucose control. 　　[Key words] Gestational diabetes mellitus； Individualization； Health education； Self management 　　妊娠期糖尿病（gestational diabetes mellitus，GDM）是指在妊娠期间首次发生或发现的糖耐量减低或糖尿病者。目前，我国GDM发病率为4.3%[1]。在GDM孕妇中，感染、巨大儿、新生儿呼吸窘迫综合征、新生儿低血糖及产后糖尿病的发病率增加[2]。因此，控制血糖和提高自我管理能力对GD