参与式健康教育模式对妊娠期糖尿病孕产妇血糖及健康行为影响.docVIP

参与式健康教育模式对妊娠期糖尿病孕产妇血糖及健康行为影响 　　【摘要】 目的：探讨参与式健康教育对妊娠期糖尿病孕产妇的影响。方法：选取2013年1月-2014年1月本院就诊的妊娠期糖尿病患者120例，随机分为观察组与对照组，每组各60例。对两组患者入院及产后42 d的空腹及餐后2 h血糖，健康行为及并发症发生率进行比较。结果：观察组入院及产后42 d的空腹及餐后2 h血糖水平明显低于对照组，两组比较差异均有统计学意义（P0.05）。观察组健康行为包括参加讲座、饮食控制、运动、体重管理、血糖监测、母乳喂养发生率，明显高于对照组，两组比较差异均有统计学意义（P0.05）。观察组的并发症发生率明显低于对照组，两组比较差异有统计学意义（P0.05）。结论：对妊娠期糖尿病孕产妇采取参与式健康教育模式，可明显提高其健康行为，控制孕期和产后血糖，减少母儿并发症，值得临床推广应用。 　　【关键词】 参与式健康教育； 妊娠期糖尿病； 孕产妇； 影响 　　Impact of Participatory Health Education in Pregnancy Maternal with Diabetes on Blood Glucose and Health Behavior/REN Chun-wu，CHEN Li-ming.//Medical Innovation of China，2015，12（16）：106-108 　　【Abstract】 Objective：To explore the impact of participatory health education in pregnancy maternal with diabetes.Method：120 cases with gestational diabetes were selected in our hospital from January 2013 to January 2014 and were randomly divided into observation group and control group，60 cases in each group.The fasting blood glucose，2 h postprandial blood glucose，health behavior and incidence of complications of patients in the two groups after admission and postpartum 42 d were compared.Result：The levels of fasting blood glucose and 2 h postprandial blood glucose in the observation group after admission and postpartum 42 d were lower than those in the control group，the difference was statistically significant（P0.05）.The health behaviors included attending lectures，diet control，exercise，weight management，monitoring of blood glucose and incidence of breast feeding in the observation group were significantly higher than those in the control group，the differences were statistically significant （P0.05）.The incidence rate of complications in the observation group was significantly lower than that in the control group，the difference was statistically significant（P0.05）.Conclusion：The participatory health education mode on gestational diabetes mellitus pregnant women，can significantly improve the health behavior，control blood sugar during pregnancy and postpartum，