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GDM高危孕妇饮食行为调查及影响因素分析

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目的:了解妊娠期糖尿病(GDM)高危孕妇饮食行为及相关影响因素,为GDM的预防管理提供参考.方法:便利抽样方法选取2023年1-12月在本院规律孕检的GDM高危孕妇为研究对象,采用一般资料调查表收集年龄、孕周、产次等资料,采用GDM饮食依从性量表评估饮食管理行为;采用中文版一般自我效能量表评价自我效能水平;采用领悟社会支持量表(PSSS)评定社会支持水平.通过多重线性回归模型分析影响GDM高危孕妇饮食行为的相关因素.结果:GDM高危孕妇饮食行为得分(46.1±5.9)分,饮食行为与自我效能、领悟社会支持均呈正相关(r=0.31,0.37;P<0.01).多重线性模型分析结果显示,文化程度(β=0.31)、家庭月均收入(β=0.35)、GDM认知水平(β=0.29)、参加孕妇学校课程(β=0.15)、自我效能(β=0.21)、社会支持水平(β=0.28)是GDM高危孕妇饮食行为的正向影响因素(P<0.05).结论:GDM高危孕妇的良好饮食行为与文化程度和家庭收入高,接受过孕期健康教育,GDM认知水平高,自我效能和社会支持水平高等有关.
Dietary behavior survey of pregnant women with the high risk gestational diabetes mellitus and its influencing factors anal-ysis
Objective:To understand the dietary behavior survey of pregnant women with the high risk gestational dia-betes mellitus(GDM),and to study the related influencing factors of the dietary behavior.Methods:Convenience sam-pling method was used to select the pregnant women with the high risk GDM who visited the hospital for regular pre-natal care from January to December 2023 as the research subjects.The general information questionnaire was used to collect the data of these women,such as the age,the gestational weeks,the parity,and so on.The dietary compliance scale was used to evaluate the dietary management behavior of the women,the Chinese version diabetes self-efficacy scale was used to evaluate the self-efficacy level of the women,and the perceived social support scale(PSSS)was used to assess the level of the social support of the women.The factors affecting the dietary behavior of the women with GDM were analyzed by multiple linear regression models.Results:The score of the dietary behavior of the pregnant women with high-risk GDM was 46.1±5.9 points,and the dietary behavior of the women was positively correlated with their self-efficacy and perceived social support(r=0.31,r=0.37,P<0.01).Multiple linear model analysis showed that the cultural level(β=0.31),the family monthly income(β=0.35),the cognitive level for GDM(β=0.29),the participative curriculum in the pregnant women school(β=0.15),and the self-efficacy(β=0.21)and the level of social support(β=0.28)of the women with high-risk GDM were the positive factors influencing their dietary behavior(P<0.05).Conclusion:The better dietary behavior of the pregnant women with high risk GDM is related to their high education level and family income,to their received the pregnancy health education,to their high cognitive level of GDM and to their high levels of self-efficacy and social support.

Gestational diabetes mellitusPregnant women with high risk situationDietary behaviorInfluence factor

陈晓莉、刘蓓、周君萍

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浙江省临海市妇幼保健院(311700)

妊娠期糖尿病 高危孕妇 饮食行为 影响因素

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(10)