妊娠期糖尿病患者俱乐部式健康教育研究
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摘要
目的探讨对妊娠期糖尿病患者开展俱乐部式健康教育的效果。方法将孕24～26周、单胎、确诊为妊娠期糖尿病的孕妇64例按时间顺序分为对照组与研究组各32例。对照组按常规行健康教育,研究组以"糖妈妈俱乐部"形式进行健康教育。干预3个月后,比较两组血糖控制情况及自我护理行为。结果干预后研究组空腹血糖、餐后2 h血糖、糖化血红蛋白显著低于对照组(均P <0. 01);研究组自我管理效能、饮食依从性评分显著高于对照组,而运动问题得分显著低于对照组(P <0. 05,P <0. 01)。结论对于妊娠期糖尿病患者采用"糖妈妈俱乐部"式健康教育,可有效控制血糖,提高孕妇的疾病自我管理能力。
Objective To investigate the effect of a health education club for patients with gestational diabetes mellitus (GDM). Methods Totally,64 women at 24 to 26 weeks singleton pregnancy and diagnosed with GDM were divided into two groups accor-ding to time orders.The control group was given routine health education,while the research group was asked to join a " Sugar Mommy Club". Three months after the intervention,blood glucose control and self-care ability were compared between the two groups. Results The results of fasting plasma glucose,2-hour postprandial blood glucose,and HbA1c were significantly lower in the research group than those in the control group ( P <0. 01 for all). The self-management efficacy and diet adherence scores of the research group were higher,and exercise barriers scores were lower,than those of the control group ( P < 0. 05,P < 0. 01). Conclusion The practice of " Sugar Mommy Club" could effectively control blood glucose of GDM patients,and enhance disease self-management levels.
Objective To investigate the effect of a health education club for patients with gestational diabetes mellitus (GDM). Methods Totally,64 women at 24 to 26 weeks singleton pregnancy and diagnosed with GDM were divided into two groups accor-ding to time orders.The control group was given routine health education,while the research group was asked to join a " Sugar Mommy Club". Three months after the intervention,blood glucose control and self-care ability were compared between the two groups. Results The results of fasting plasma glucose,2-hour postprandial blood glucose,and HbA1c were significantly lower in the research group than those in the control group ( P <0. 01 for all). The self-management efficacy and diet adherence scores of the research group were higher,and exercise barriers scores were lower,than those of the control group ( P < 0. 05,P < 0. 01). Conclusion The practice of " Sugar Mommy Club" could effectively control blood glucose of GDM patients,and enhance disease self-management levels.
引文
[1]O'Sullivan E P,Avalos G,O'Reilly M W,et al.Erratum to:Atlantic Diabetes in Pregnancy(DIP):the prevalence and outcomes of gestational diabetes mellitus using new diagnostic criteria[J].Diabetologia,2016,59(4):873.
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[3]张明,潘丽娟,谭诗亮,等.妊娠期糖尿病妇女产后血糖管理的研究进展[J].护理学杂志,2016,31(6):97-101.
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[5]Itoh A,Saisho Y,Miyakoshi K,et al.Time-dependent changes in insulin requirement for maternal glycemic control during antenatal corticosteroid therapy in women with gestational diabetes:a retrospective study[J].Endocr J,2016,63(1):101-104.
[6]何青,李映桃,胡佳佳,等.产妇的围生期抑郁发病情况及影响因素分析[J].广东医学,2016,37(1):173-176.
[7]中华医学会妇产科学分会产科学组.妊娠合并糖尿病临床诊断与治疗推荐指南(草案)[J].中华围产医学杂志,2007,10(4):283-285.
[8]Michigan Diabetes Research and Training Center.Diabetes Care Profile[EB/OL].(1998)[2018-06-17].http://www.med.umich.edu/borc/profs/documents/svi/dcp.pdf.
[9]陈雅菲,吕利枝,胡逸凡,等.糖尿病患者自我管理行为评价工具的比较[J].现代预防医学,2017,44(20):106-110.
[10]王雪燕,张超,梁梅英,等.妊娠合并全血细胞减少孕妇不良围产结局的危险因素分析[J].中华妇产科杂志,2015,50(12):931-936.
[11]Familiari A,Neri C,Vassallo C,et al.OP21.09:Fetal Dopplers for prediction of perinatal outcomes in pregnancies complicated by gestational diabetes mellitus[J].Ultrasound Obst Gyn,2017,50(S1):118.
[12]黄贤君,刘丹,吴伟珍,等.新媒体在妊娠期糖尿病健康教育中的作用初探---以广州医科大学附属第三医院“糖妈妈俱乐部”为例[J].西北医学教育,2016,24(2):314-317.
[13]周先利,宋彩萍,赵欢,等.家庭健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响[J].第三军医大学学报,2016,38(19):2195-2198.
[14]朱淑青,张利霞,赵姜楠,等.糖尿病前期患者自我效能及影响因素分析[J].现代预防医学,2016,43(20):3827-3830.
[2]Koivusalo S B,R9n9 K,Klemetti M M,et al.Gestational diabetes mellitus can be prevented by lifestyle intervention:the Finnish Gestational Diabetes Prevention Study(RADIEL):a randomized controlled trial[J].Diabetes Care,2016,39(1):24-30.
[3]张明,潘丽娟,谭诗亮,等.妊娠期糖尿病妇女产后血糖管理的研究进展[J].护理学杂志,2016,31(6):97-101.
[4]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.
[5]Itoh A,Saisho Y,Miyakoshi K,et al.Time-dependent changes in insulin requirement for maternal glycemic control during antenatal corticosteroid therapy in women with gestational diabetes:a retrospective study[J].Endocr J,2016,63(1):101-104.
[6]何青,李映桃,胡佳佳,等.产妇的围生期抑郁发病情况及影响因素分析[J].广东医学,2016,37(1):173-176.
[7]中华医学会妇产科学分会产科学组.妊娠合并糖尿病临床诊断与治疗推荐指南(草案)[J].中华围产医学杂志,2007,10(4):283-285.
[8]Michigan Diabetes Research and Training Center.Diabetes Care Profile[EB/OL].(1998)[2018-06-17].http://www.med.umich.edu/borc/profs/documents/svi/dcp.pdf.
[9]陈雅菲,吕利枝,胡逸凡,等.糖尿病患者自我管理行为评价工具的比较[J].现代预防医学,2017,44(20):106-110.
[10]王雪燕,张超,梁梅英,等.妊娠合并全血细胞减少孕妇不良围产结局的危险因素分析[J].中华妇产科杂志,2015,50(12):931-936.
[11]Familiari A,Neri C,Vassallo C,et al.OP21.09:Fetal Dopplers for prediction of perinatal outcomes in pregnancies complicated by gestational diabetes mellitus[J].Ultrasound Obst Gyn,2017,50(S1):118.
[12]黄贤君,刘丹,吴伟珍,等.新媒体在妊娠期糖尿病健康教育中的作用初探---以广州医科大学附属第三医院“糖妈妈俱乐部”为例[J].西北医学教育,2016,24(2):314-317.
[13]周先利,宋彩萍,赵欢,等.家庭健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响[J].第三军医大学学报,2016,38(19):2195-2198.
[14]朱淑青,张利霞,赵姜楠,等.糖尿病前期患者自我效能及影响因素分析[J].现代预防医学,2016,43(20):3827-3830.