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健康行为互动模式护理在妊娠期糖尿病患者中的应用效果

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目的:观察健康行为互动模式(IMCHB)护理在妊娠期糖尿病(GDM)患者中的应用效果。方法:回顾性分析2021年5月至2023年8月该院收治的96例GDM患者的临床资料,根据护理方法不同将其分为观察组和对照组各48例。对照组实施常规护理,观察组在对照组基础上实施IMCHB护理。比较两组护理前后疾病知识掌握度评分、自我效能[自我效能感量表(GSES)]评分,不良妊娠结局发生率,以及护理满意度。结果:护理后,两组发病机制、治疗措施、母婴危害、远期预后等疾病知识掌握度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0。05);护理后,两组GSES评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0。05);观察组不良妊娠结局发生率为2。08%(1/48),低于对照组的16。67%(8/48),差异有统计学意义(P<0。05);观察组护理满意度为93。75%(45/48),高于对照组的79。17%(38/48),差异有统计学意义(P<0。05)。结论:IMCHB护理应用于GDM患者可提高疾病知识掌握度、自我效能评分和护理满意度,降低不良妊娠结局发生率,效果优于常规护理。
Application effects of interaction model of client health behavior nursing in patients with gestational diabetes mellitus
Objective:To observe application effects of interaction model of client health behavior (IMCHB) nursing in patients with gestational diabetes mellitus (GDM). Methods:The clinical data of 96 patients with GDM admitted to this hospital from May 2021 to August 2023 were retrospectively analyzed. According to different nursing methods,they were divided into observation group and control group,48 cases in each group. The control group was given routine nursing,while the observation group was given the IMCHB nursing on the basis of that of the control group. The scores of disease knowledge mastery and self-efficacy[general self-efficacy scale (GSES)]before and after the nursing,the incidence of adverse pregnancy outcomes,and the nursing satisfaction were compared between the two groups. Results:After the nursing,the scores of disease knowledge mastery such as pathogenesis,treatment measures,maternal and infant hazards and long-term prognosis in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). After the nursing,the GSES scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant (P<0.05). The incidence of adverse pregnancy outcomes in the observation group was 2.08% (1/48),which was lower than 16.67% (8/48) in the control group,and the difference was statistically significant (P<0.05). Further,the nursing satisfaction of the observation group was 93.75% (45/48),which was higher than 79.17% (38/48) of the control group,and the difference was statistically significant (P<0.05). Conclusions:The IMCHB nursing in the GDM patients can improve the disease knowledge mastery,the self-efficacy scores and the nursing satisfaction,and reduce the incidence of adverse pregnancy outcomes. Moreover,it is superior to the routine nursing.

Interaction model of client health behavior nursingGestational diabetes mellitusDisease knowledge masterySelf-efficacyAdverse pregnancy outcomeNursing satisfaction

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黄河三门峡医院产科,河南 三门峡 472000

健康行为互动模式护理 妊娠期糖尿病 疾病知识掌握度 自我效能 不良妊娠结局 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)