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妊娠期糖尿病患者健康知识知晓情况及影响因素分析

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目的:分析妊娠期糖尿病(gestational diabetes mellitus,GDM)患者健康知识知晓情况及相关因素.方法:选择2020年5月至2021年5月广元市第一人民医院收治的GDM患者182例作为研究对象,收集所有患者的一般资料(年龄、孕周、胎次、文化程度、体质量指数、家庭收入、是否为初产妇、GDM史、付费方式、家族糖尿病史及血糖监测情况等),采用本院自制健康知识评分量表评估所有患者的健康知识知晓情况,经单因素及logistic多因素分析GDM患者健康知识知晓情况的相关影响因素.结果:182例GDM患者知晓健康知识的有83例(45.60%),平均得分为(51.82±6.38)分.GDM患者知晓健康知识不受年龄、孕周、胎次、体质量指数、是否为初产妇、就业情况及付费方式的影响(P>0.05);但可能与文化程度、生理自理能力、家庭功能情况、合并基础疾病及健康情况有关(P<0.05).非条件Logistic回归分析结果显示,高中及以下文化程度、家庭收入较低、无GDM史、无家族糖尿病史及从不进行血糖监测均是影响GDM患者健康知识知晓情况的危险因素(OR>1,P<0.05).结论:高中及以下文化程度、家庭收入较低、无GDM史、无家族糖尿病史及从不进行血糖监测均可能影响GDM患者健康知识知晓情况,故临床上仍需针对不同特征对象加强健康宣教、采取对应措施以提高GDM患者的健康知识知晓水平.
Analysis of health knowledge awareness and influencing factors in patients with gestational diabetes mellitus
Objective:To analyze the health knowledge awareness and related factors in the patients with gestational diabetes mellitus(GDM).Methods:One hundred and eighty-two patients with GDM admitted to Guangyuan First People's Hospital from May 2020 to May 2021 were selected as the study subjects,and the general data of all patients[age,gestational week,parity,education level,body mass index(BMI),family income,whether they were primiparas,GDM history,payment method,family diabetes history,blood glucose monitoring,etc.]were collected,the health knowledge of all patients was assessed with the self-designed health knowledge scoring scale of the hospital,and the related influencing factors of health knowledge of diabetes in the patients with GDM were analyzed by single factor and logistic multi factor analysis.Results:Eighty-three out of 182 GDM patients(45.60%)were aware of health knowledge,and an average score was(51.82±6.38)points;the health knowledge awareness in GDM patients were not affected by age,gestational age,parity,BMI,whether they were primiparas,employment status,and payment methods(P>0.05);but it might be related to educational level,physiological self-care ability,family function,comorbid underlying diseases,and health status(P<0.05).The results of unconditional logistic regression analysis showed that education level of high school and below,low family income,no history of GDM,no family history of diabetes,and no blood glucose monitoring were all risk factors affecting the health knowledge awareness in the GDM patients(OR>1,P<0.05).Conclusion:Education level of high school and below,low family income,no GDM history,no family history of diabetes,and no blood glucose monitoring may affect the health knowledge awareness in the GDM patients,so clinical health education should be strengthened and corresponding measures should be taken to improve the health knowledge awareness in the GDM patients.

gestational diabetes mellitushealth knowledge awarenessinfluencing factor

石双、辜于蓝

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广元市第一人民医院内分泌科·老年病科,广元 628040

妊娠期糖尿病 健康知识知晓情况 影响因素

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(18)
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