保护动机理论用于妊娠期糖尿病健康教育护理体会.docVIP

保护动机理论用于妊娠期糖尿病健康教育的护理体会 　　[摘要] 目的 探讨保护动机理论用于妊娠糖尿病健康教育的护理价值。 方法 选取该院2014年5月―2015年5月收治的80例妊娠糖尿病患者为研究对象，将患者抽签随机分为观察组与对照组各40例。对照组给予常规护理方法，观察组在对照组的基础上给予保护动机理论方法进行干预，对比两组干预前后自我能力量表（ESCA）、一般自我效能感量表（GSES）评分及血糖水平。结果 两组干预后健康知识水平、自护技能、自我概念、自护责任感评分及自我护理能力总分均高于干预前，且观察组高于对照组（P0.05）。两组干预后自我效能得分均高于干预前，且观察组高于对照组（P0.05）。观察组干预后空腹血糖、餐后2 h血糖水平均低于干预前，且观察组低于对照组，差异有统计学意义（P0.05）。结论 基于保护动机理论的健康教育护理措施能改善妊娠糖尿病患者自我效能水平，提高自我护理能力，有效控制血糖水平，临床应用价值高。 　　[关键词] 妊娠糖尿病；保护动机理论；护理 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）04（b）-0028-02 　　[Abstract] Objective To discuss the nursing value of protection motivation theory in the health education of gestational diabetes. Methods 80 cases of patients with gestational diabetes in our hospital from May 2014 to May 2015 were randomly divided into two groups with 40 cases in each， the control group adopted the routine nursing method， while the observation group adopted the protection motivation therapy for intervention on the basis of the control group， and the ESCA， GSES score and blood glucose level of the two groups before and after intervention were compared. Results After intervention， the health knowledge level， self-nursing skill， self-conception， self-nursing responsibility sense and self-nursing ability score of the two groups after intervention were higher than those before intervention， and these indexes in the observation group were higher than those in the control group（P0.05）， after intervention， the self-efficacy scores of the two groups were higher than those before intervention， and these indexes in the observation group were higher than those in the control group（P0.05）， after intervention， the fasting blood glucose and postprandial 2-hour blood glucose levels in the observation group were lower than those before intervention， and these indexes in the observation group were lower than those in the control group， and the differences were statistically significant（P0.05）. Conclusion The health education nursing measures based on the prote