授权教育对妊娠期糖尿病患者血糖控制影响.docVIP

授权教育对妊娠期糖尿病患者血糖控制影响 　　[摘要] 目的 探讨授权教育对妊娠期糖尿病患者血糖控制的影响。 方法 选取2014年11月～2015年6月本院收治的144例妊娠期糖尿病患者作为研究对象，随机分为观察组与对照组，各72例。观察组给予授权教育，对照组给予传统健康教育，比较两组的糖尿病管理自我效能评分（DSES）、血糖控制情况。 结果 两组教育后的FBG、2 h PBG及HbA1c水平显著低于教育前，差异有统计学意义（P0.01）。观察组教育后的FBG、2 h PBG及HbA1c水平显著低于对照组，差异有统计学意义（P0.01）。两组教育后的DSES量表六项评分及总评分显著高于教育前，差异有统计学意义（P0.01）。观察组教育后的DSES量表六项评分及总评分显著高于对照组，差异有统计学意义（P0.01）。 结论 授权教育能够有效激发患者的糖尿病管理主动性，更好地实现血糖控制目标。 　　[关键词] 授权教育；妊娠期糖尿病；血糖 　　[中图分类号] R714.256 [文献标识码] A [文章编号] 1674-4721（2016）05（a）-0110-03 　　Influence of education for patient empowerment on the glycemic control of gestational diabetes mellitus patient 　　YANG Mei1 FANG Li-hong2 CHENG Huo-xing3 DING Hong-mei4 HE Liu-yu5 　　1.Longjin Street Community Health Service Center of Liwan District in Guangzhou City，Guangzhou 510145，China；2.Department of Obstetrics and Gynecology，The Second People′s Hospital of Liwan District in Guangzhou City，Guangzhou 510160，China；3.Department of Emergency，Guangzhou Iron and Steel Enterprises Group Hospital，Guangzhou 510380，China；4.Department of Pharmacy，Zhongkai University of Agriculture and Engineering，Guangzhou 510224，China；5.Department of Internal Medicine，Maternal and Child Health Care Hospital of Guangdong Province，Guangzhou 510010，China 　　[Abstract] Objective To explore the influence of education for patient empowerment on the glycemic control of gestational diabetes mellitus patient. Methods 144 gestational diabetes mellitus patients from November 2011 to June 2015 in our hospital were selected and random divided into the observation group and the control group，72 cases in each group.The observation group was given education for patient empowerment and the control group was given traditional health education.The score of diabetes management self-efficacy score （DSES），glycemic control situation in the two groups was compared. Results The level of FBG，2 h PBG，HbA1c after education in the two groups was lower than that before education，with significant difference （P 　　[Key words] Educati