孕期日记联合自我管理宣教对妊娠糖尿病患者控糖水平影响.docVIP

孕期日记联合自我管理宣教对妊娠糖尿病患者控糖水平影响 　　[摘要] 目的 探讨孕期日记联合自我管理宣教对妊娠糖尿病患者血糖与自护能力的影响。方法 将妊娠糖尿病患者86例随机均分为2组。对照组43例接受常规孕期管理；观察组应用孕期日记联合自我管理宣教辅助进行孕期管理。结果 入组时2组患者空腹血糖（FPG）、餐后2 h血糖（2 hPBG）、糖化血红蛋白（HbAlc）水平接近，入组3个月后所有患者上述指标均有明显改善（P0.05），且观察组改善效果明显优于对照组（P0.05）。结论 孕期日记联合自我管理宣教能够有效提升妊娠糖尿病患者血糖控制水平，这可能与其能够提升患者自我管理能力有关。 　　[关键词] 孕期日记；自我管理宣教；自我管理能力；妊娠糖尿病 　　[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2017）02（b）-0020-02 　　Effect of Diaries During Pregnancy and Self-management Education on the Blood Glucose Control Level of Patients with Gestational Diabetes 　　CHEN Xiu-rong 　　Department of Gynecology and Obstetrics， Zizhong People’s Hospital， Zizhong， Sichuan Province， 641200 China 　　[Abstract] Objectire To study the effect of diaries during pregnancy and self-management education on the blood glucose control level of patients with gestational diabetes. Methods 86 cases of patients with gestational diabetes were randomly divided into two groups with 43 cases in each， the control group adopted the routine management during the pregnancy， while the observation group adopted the diaries during pregnancy and self-management education. Results The FPG， 2 hPBG and HbAlc levels of the two groups were similar， after three-month treatment， the above indexes were obviously improved（P0.05）， and the improvement effect in the observation group was obviously better than that in the control group（P0.05）. Conclusion The diaries during pregnancy and self-management education can effectively improve the blood glucose control level of patients with gestational diabetes， which may be related to the ability to improve the self-management level. 　　[Key words] Diaries during pregnancy； Self-management education； Self-management ability； Gestational diabetes 　　妊娠糖尿病特指在妊娠期?l生或首次发现的糖尿病类型，国内报道显示其发病率约3%～5%[1]。该疾病对母婴均有严重不良影响[2]，临床强调通过多种干预方案确保患者血糖控制在正常水平，以降低其威胁。但受患者缺乏自我管理技能及信心等因素影响，既往临床血糖控制效果多不佳[3]。该院在常规护理基础上利用孕期日记联合自我管理宣教方案对患者进行孕期管理，旨在强化患者自我管理能力，并提升血糖控制水平。该研究重点探讨了该孕期管理方案的应用价值，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　纳入2013年1月―20