首页|线上线下结构化健康教育在妊娠糖尿病中的应用

线上线下结构化健康教育在妊娠糖尿病中的应用

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目的 探究线上线下结构化健康教育对妊娠糖尿病孕妇心理状态、血糖控制水平及妊娠结局的影响。方法 选取2020年5月至2023年5月该科收治的129例妊娠糖尿病孕妇作为研究对象,并依照随机数表法分为对照组(64例)和观察组(65例)。对照组给予常规孕妇学校开展健康教育,观察组给予线上线下结构化健康教育,对比2组孕妇心理状态、血糖控制水平、妊娠糖尿病自我管理能力、自我效能感水平及妊娠结局。结果 与干预前比较,2组孕妇分娩前1 d汉密尔顿抑郁量表、汉密尔顿焦虑量表评分及空腹血糖、餐后2 h血糖、糖化血红蛋白水平均降低,且观察组孕妇降低更明显,自我管理能力评分、自我效能感水平评分均升高,且观察组孕妇升高更明显,差异均有统计学意义(P<0。05)。观察组不良妊娠结局发生率低于对照组,差异有统计学意义(P<0。05)。结论 线上线下结构化健康教育能够改善妊娠糖尿病孕妇心理状态和血糖控制水平,并提高妊娠糖尿病自我管理能力和自我效能感水平,降低不良妊娠结局发生率。
Application of online and offline structured health education in gestational diabetes mellitus
Objective To explore the effect of online and offline structured health education on mental state,blood glucose control level and pregnancy outcome of pregnant women with gestational diabetes melli-tus.Methods A total of 129 pregnant women with gestational diabetes mellitus admitted to our department from May 2020 to May 2023 were selected as the research objects and divided into control group(64 cases)and observation group(65 cases)according to the random number table method.The control group was given routine pregnant women's school to carry out health education,and the observation group was given online and offline structured health education.The mental state,blood glucose control level,gestational diabetes self-management ability,self-efficacy level and pregnancy outcome of the two groups were compared.Results Com-pared with before intervention,the scores of Hamilton Depression Scale,Hamilton Anxiety Scale,fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin in the two groups decreased on the first day before delivery,and the decrease in the observation group was more obvious.The scores of self-management ability and self-efficacy increased,and the increase in the observation group was more obvious.The differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Online and offline structured health education can improve the mental state and blood glucose control level of pregnant women with gestational diabetes,,improve the self-management ability and self-efficacy level of gestational diabetes,and reduce the incidence of adverse pregnancy outcomes.

Online and offline structured health educationGestational diabetes mellitusMental stateBlood glucose control levelPregnancy outcome

崔继敏、沈秋叶、贾灿灿

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郑州大学第一附属医院南院区妇科,河南郑州 450000

线上线下结构化健康教育 妊娠糖尿病 心理状态 血糖控制水平 妊娠结局

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(23)