健康教育对妊娠期糖尿病患者遵医行为以和妊娠结局影响.docVIP

健康教育对妊娠期糖尿病患者遵医行为以和妊娠结局影响[摘要] 目的 对妊娠期糖尿病患者实施健康教育干预的效果进行评价。 方法 选取妊娠期糖尿病患者160例随机分为观察组和对照组各80例。对照组遵医嘱给予对症护理，观察组着重实施健康教育干预，观察两组的遵医行为以及妊娠结局。 结果 观察组血糖控制效果优于对照组，差异有统计学意义（P 0.05）。观察组健康教育效果优于对照组，差异有统计学意义（P 0.05）。观察组顺产比率高于对照组，而剖宫产、胎头吸引产、钳产、肩难产比率均明显低于对照组，差异有统计学意义（P 0.05）。观察组孕产妇发生妊娠高血压疾病、羊水过多、早产、产后出血的比率明显低于对照组，观察组出现巨大儿、新生儿窒息、胎儿畸形比率也明显低于对照组，差异有统计学意义（P 0.05）。两组均未出现死胎。 结论 加强妊娠期糖尿病患者的临床护理和健康教育，增加孕妇对孕期知识的了解，可以有效控制血糖，明显降低妊娠期糖尿病患者并发症的发生，改善孕产妇及围生儿的妊娠结局。 [关键词] 妊娠期糖尿病；健康教育；遵医行为；妊娠结局 [中图分类号] R714.256 [文献标识码] B [文章编号] 1673—9701（2012）25—0121—02 The impact of health education on the compliance behavior of patients with gestational diabetes and pregnancy outcome CHEN Xiufang Delivery Room， Ningbo Women Children`s Hospital，Ningbo 315010，China [Abstract] Objective To evaluate the effect of health education intervention on patients with gestational diabetes. Methods All 160 cases of gestational diabetes were randomly divided into observation group and control group 80 cases. The control group was prescribed to symptomatic care， and the observation group focuses on the implementation of health education intervention， compliance behavior observed in both groups as well as pregnancy outcome. Results The glycemic control of the observation group was supior to the control group， the difference was statistically significant （P 0.05）. The effect of health education of the observation group was better than the control group， the difference was statistically significant（P 0.05）. Observation the group along the production ratio was higher， and cesarean delivery， fetal head to attract production， forceps， shoulder dystocia rate was significantly lower than the control group， the difference was statistically significant（P 0.05）. The observation group maternal pregnancy induced hypertension， polyhydramnios， premature delivery， and postpartum hemorrhage rate was significantly lower than the control group， the observer group of the great child， neonatal asphyxia， fetal malformation rate was