COM-B模型指导下的目标导向性干预在妊娠糖尿病患者中的应用
Application of goal oriented intervention guided by COM-B model in patients with gestational diabetes mellitus
李妮 1倪爱华 2黄蓓1
作者信息
- 1. 南京医科大学附属南京医院南京市第一医院产科,江苏南京 210006
- 2. 南京市雨花台区妇幼保健所孕产保健部,江苏南京 210012
- 折叠
摘要
目的 探讨能力、机会、动机-行为(COM-B)模型指导下的目标导向性干预在妊娠糖尿病(GDM)患者中的应用效果.方法 选择于2022年7月至2023年3月南京市第一医院建档产检的120例GDM孕妇为研究对象,通过随机数字表法将其分为对照组与观察组,各60例.对照组接受常规干预,观察组在对照组基础上应用COM-B模型指导下的目标导向性干预,两组均干预至完成分娩.比较干预前后健康行为、血糖控制情况.结果 干预后,两组糖尿病自我管理行为量表评分均较干预前升高,且观察组高于对照组(P＜0.05).两组不同时间点空腹血糖水平比较,差异均有统计学意义(P＜0.05);观察组孕32、36周空腹血糖水平均低于同期对照组(P＜0.05).结论 COM-B模型指导下的目标导向性干预可提高GDM患者健康行为,有助于血糖水平控制.
Abstract
Objective To explore the effect of goal oriented intervention guided by the capability,opportunity,and motivation behaviour model(COM-B)in patients with gestational diabetes mellitus(GDM).Methods A total of 120 pregnant women with GDM who underwent prenatal examination at Nanjing First Hospital from July 2022 to March 2023 were selected as subjects,and they were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine intervention,while the observation group received goal oriented intervention guided by the COM-B model on the basis of the control group.Both groups intervened until delivery was completed.The health behavior and blood glucose control before and after the intervention were compared.Results After intervention,the scores of diabetes self-management behavior scale were increased compared with before intervention in both groups,and those in the observation group were higher than those in the control group(P＜0.05).There were significant differences in fasting blood glucose levels between the two groups at different time points(P＜0.05).The fasting blood glucose levels in the observation group at 32 and 36 weeks of pregnancy were lower than those in the control group(P＜0.05).Conclusion Targeted interventions guided by the COM-B model can improve the health behavior of GDM patients,help control blood sugar levels.
关键词
妊娠糖尿病/目标导向性理论/自我管理行为Key words
Gestational diabetes mellitus/Goal oriented theory/Self-management behavior引用本文复制引用
出版年
2024
NETL
NSTL
万方数据