首页|基于计划行为理论的健康教育结合自我监督管理在妊娠期糖尿病患者中的应用

基于计划行为理论的健康教育结合自我监督管理在妊娠期糖尿病患者中的应用

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目的:探讨基于计划行为理论的健康教育结合自我监督管理在妊娠期糖尿病(GDM)患者中的应用效果。方法:选取2022 年 1 月 1 日~12 月 31 日收治的GDM患者 68 例,随机分为观察组(基于计划行为理论的健康教育结合自我监督管理)和对照组(常规护理干预)各 34 例;比较干预前后两组血糖控制水平、自我管理行为及心理韧性变化,比较两组剖宫产率、不良母婴结局及对护理工作的满意度。结果:干预后,两组空腹血糖、餐后 2 h血糖及糖化血红蛋白水平较干预前均降低(P<0。05),且观察组低于对照组(P<0。05);干预后,两组心理弹性量表及妊娠期糖尿病自我管理能力量表各项评分较干预前均提升(P<0。05),且观察组高于对照组(P<0。05);观察组剖宫产率、不良母婴结局发生率均低于对照组(P<0。05);观察组对各项护理工作的满意度评分均高于对照组(P<0。05)。结论:基于计划行为理论的健康教育结合自我监督管理能提升GDM患者的自我管理能力及心理韧性,加强血糖调控效果,降低剖宫产率和不良母婴结局发生风险,患者对护理工作的满意度更高。
Effect of Health Education Combined with Self-supervision Management Based on Planned Behavior Theory in Patients with Gestational Diabe-tes Mellitus
Objective:To explore the effect of health education combined with self-supervision management based on planned behavior theory in patients with gestational diabetes mellitus(GDM).Methods:A total of 68 GDM patients admitted from January 1 to December 31,2022 were randomly divided into observation group(received health education combined with self-monitoring management based on planned behavior theory)and control group(received conventional nursing intervention),with 34 cases in each group.The changes in blood glucose control level,self-management behavior,and psychological resilience were compared between the two groups before and after intervention.The cesarean section rates,adverse maternal and infant outcomes,and satisfaction with nursing work were compared between two groups.Results:After intervention,the levels of fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin in both groups decreased compared to before intervention(P<0.05),and the observation group has lower levels than the control group(P<0.05).After the intervention,the scores of the resilience scale and the self-management ability scale of GDM in both groups were higher than those be-fore intervention(P<0.05),and the observation group has higher scores than the control group(P<0.05).The cesarean section rate and incidence of adverse maternal and infant outcomes in the observation group were lower than those in the control group(P<0.05).The satis-faction scores of the observation group on various nursing work were higher than those of the control group(P<0.05).Conclusion:Health education combined with self-monitoring management based on planned behavior theory can enhance the self-management ability and psy-chological resilience of GDM patients,strengthen the effect of blood glucose regulation,reduce the risk of cesarean section rate and adverse maternal and infant outcomes,and increase patient satisfaction with nursing work.

Gestational diabetes mellitusPlanned behavior theoryHealth EducationSelf-supervision management

禹改君、杨东琪、魏亚娟

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河南省人民医院 河南省护理医学重点实验室 郑州大学人民医院 河南郑州 450003

妊娠期糖尿病 计划行为理论 健康教育 自我监督管理

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(12)