基于知信行模型的护理干预在妊娠期糖尿病孕妇中的应用效果
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摘要
目的探讨基于知信行模型的护理干预在妊娠期糖尿病孕妇中的应用效果。方法选取2018年1～6月在我院规律产检的妊娠期糖尿病孕妇100例作为研究对象,按照护理干预方式的不同分为对照组和干预组,每组各50例。对照组实施常规护理干预,干预组实施基于知信行模型的护理干预,比较两组孕妇在健康行为水平、血糖及体重控制等方面的差异。结果干预组孕妇的健康行为得分高于对照组,空腹血糖和餐后2 h血糖水平均低于对照组,孕期增重及分娩前的体重指数(BMI)均低于对照组,差异有统计学意义(P<0.05)。结论基于知信行模型的护理干预能够帮助孕妇建立良好的健康行为,有利于孕妇更好地控制孕期血糖和体重,从而改善妊娠结局,值得在临床上推广使用。
Objective To investigate the application effect of nursing intervention of Knowledge Attitude Belief practice(KABP) in pregnant women with gestational diabetes mellitus.Methods A total of 100 pregnant women with gestational diabetes who were routinely examined in our hospital from January to June 2018 were selected as the subjects,and divided into the control group and the intervention group according to the different ways of nursing intervention,with 50 cases in each group.The control group was given routine nursing intervention,and the intervention group was given nursing intervention of KABP.The differences in health behavior,blood glucose and weight control between the two groups of pregnant women were compared.Results The scores of healthy behaviors of pregnant women in the intervention group were higher than those in the control group,the fasting blood glucose and the 2 h postprandial blood glucose levels were lower than those in the control group,the weight gain during pregnancy and body mass index(BMI) before delivery of the intervention group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The nursing intervention of KABP can help pregnant women establish good health behaviors,which is beneficial to pregnant women to better control blood glucose and body weight during pregnancy,thus improving pregnancy outcomes.This method is worthy of clinical application.
Objective To investigate the application effect of nursing intervention of Knowledge Attitude Belief practice(KABP) in pregnant women with gestational diabetes mellitus.Methods A total of 100 pregnant women with gestational diabetes who were routinely examined in our hospital from January to June 2018 were selected as the subjects,and divided into the control group and the intervention group according to the different ways of nursing intervention,with 50 cases in each group.The control group was given routine nursing intervention,and the intervention group was given nursing intervention of KABP.The differences in health behavior,blood glucose and weight control between the two groups of pregnant women were compared.Results The scores of healthy behaviors of pregnant women in the intervention group were higher than those in the control group,the fasting blood glucose and the 2 h postprandial blood glucose levels were lower than those in the control group,the weight gain during pregnancy and body mass index(BMI) before delivery of the intervention group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The nursing intervention of KABP can help pregnant women establish good health behaviors,which is beneficial to pregnant women to better control blood glucose and body weight during pregnancy,thus improving pregnancy outcomes.This method is worthy of clinical application.
引文
[1]胡波,马腹婵.健康教育及饮食护理对妊娠期糖尿病孕妇妊娠结局影响[J].中国计划生育学杂志,2016,24(7):490-493.
[2]叶华莹,李华萍.妊娠期糖尿病产后发展为2型糖尿病的相关因素研究进展[J].国际妇产科学杂志,2018,45(1):28-32.
[3]曹琳,刘超.妊娠糖尿病诊疗的争议与共识[J].国际内分泌代谢杂志,2016,36(3):176-179.
[4]李婷婷,程海东.口服降糖药治疗妊娠期糖尿病有效性和安全性的研究进展[J].中国妇幼保健,2017,32(5):1105-1108.
[5]关怀,尚丽新.妊娠期糖尿病流行现状[J].中国实用妇科与产科杂志,2015,31(1):91-94.
[6]马付坚,梁林慧,黄艳.糖化白蛋白筛查妊娠糖尿病的研究进展[J].检验医学与临床,2016,13(Z1):316-319.
[7]孙克佳.妊娠期糖尿病的孕期管理对妊娠结局的影响[J].河南医学研究,2017,26(2):1-2.
[8]张晓,白洁,赵楠楠,等.诊断GDM血糖异常点的数量与孕妇临床表现及妊娠结局关系的分析[J].中国妇产科临床杂志,2016,17(3):207-209.
[9]骆硕,郭敏,赵霞,等.妊娠期糖尿病新诊断标准控制孕妇血糖对母婴结局的影响[J].医学综述,2015,21(23):4404-4405.
[10]陈爱娣,陈新,危淑玲,等.基于食物血糖生成指数的交换份法对GDM孕妇知信行的影响[J].齐鲁护理杂志,2018,24(7):45-48.
[11]李维瑜,刘静,余桂林,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[12]井坤娟,戎艳琴,李颖.脑卒中患者健康行为结构方程模型构建研究[J].现代预防医学,2018,45(7):1229-1234.
[13]张小丽,丁玉琴.知信行在孕妇维生素D认知行为改变中的应用[J].中外医学研究,2016,14(33):150-152.
[14]王涛.知信行模式结合自我效能理论在孕产期预防保健中的应用[J].河南医学研究,2016,25(7):1332-1334.
[15]汤丽芬.控制血糖对减少妊娠期糖尿病孕妇不良妊娠结局的意义[J].中国当代医药,2018,25(33):107-109.
[16]李猛,毛淑芳,刘亚梅,等.妇产科医护人员对妊娠期糖尿病及其筛查的知识及行为现状调查[J].中国健康教育,2016,32(11):1043-1045.
[17]程慧敏,梅彬.个体化营养干预联合黄芪四君子汤对妊娠期糖尿病患者妊娠结局的影响[J].中国妇幼保健,2016,31(6):1317-1319.
[18]李青,廖生武,吴晓敏,等.体力活动及认知观点对孕妇血糖的影响研究[J].中国全科医学,2014,17(8):903-906.
[2]叶华莹,李华萍.妊娠期糖尿病产后发展为2型糖尿病的相关因素研究进展[J].国际妇产科学杂志,2018,45(1):28-32.
[3]曹琳,刘超.妊娠糖尿病诊疗的争议与共识[J].国际内分泌代谢杂志,2016,36(3):176-179.
[4]李婷婷,程海东.口服降糖药治疗妊娠期糖尿病有效性和安全性的研究进展[J].中国妇幼保健,2017,32(5):1105-1108.
[5]关怀,尚丽新.妊娠期糖尿病流行现状[J].中国实用妇科与产科杂志,2015,31(1):91-94.
[6]马付坚,梁林慧,黄艳.糖化白蛋白筛查妊娠糖尿病的研究进展[J].检验医学与临床,2016,13(Z1):316-319.
[7]孙克佳.妊娠期糖尿病的孕期管理对妊娠结局的影响[J].河南医学研究,2017,26(2):1-2.
[8]张晓,白洁,赵楠楠,等.诊断GDM血糖异常点的数量与孕妇临床表现及妊娠结局关系的分析[J].中国妇产科临床杂志,2016,17(3):207-209.
[9]骆硕,郭敏,赵霞,等.妊娠期糖尿病新诊断标准控制孕妇血糖对母婴结局的影响[J].医学综述,2015,21(23):4404-4405.
[10]陈爱娣,陈新,危淑玲,等.基于食物血糖生成指数的交换份法对GDM孕妇知信行的影响[J].齐鲁护理杂志,2018,24(7):45-48.
[11]李维瑜,刘静,余桂林,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[12]井坤娟,戎艳琴,李颖.脑卒中患者健康行为结构方程模型构建研究[J].现代预防医学,2018,45(7):1229-1234.
[13]张小丽,丁玉琴.知信行在孕妇维生素D认知行为改变中的应用[J].中外医学研究,2016,14(33):150-152.
[14]王涛.知信行模式结合自我效能理论在孕产期预防保健中的应用[J].河南医学研究,2016,25(7):1332-1334.
[15]汤丽芬.控制血糖对减少妊娠期糖尿病孕妇不良妊娠结局的意义[J].中国当代医药,2018,25(33):107-109.
[16]李猛,毛淑芳,刘亚梅,等.妇产科医护人员对妊娠期糖尿病及其筛查的知识及行为现状调查[J].中国健康教育,2016,32(11):1043-1045.
[17]程慧敏,梅彬.个体化营养干预联合黄芪四君子汤对妊娠期糖尿病患者妊娠结局的影响[J].中国妇幼保健,2016,31(6):1317-1319.
[18]李青,廖生武,吴晓敏,等.体力活动及认知观点对孕妇血糖的影响研究[J].中国全科医学,2014,17(8):903-906.
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