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健康教育联合个性化行为干预在妊娠期糖尿病中的效果分析

Effect of health education combined with personalized behavioral intervention on gestational diabetes mellitus

  • 摘要: 目的 妊娠期糖尿病(GDM)患者应用健康教育与个性化行为干预联合处理对患者依从性及孕期体重与血糖的影响效果。方法 选择惠州市惠阳区妇幼保健院2018年6月-2019年6月收治的GDM患者80例作为研究对象,通过电脑随机数法分为两组,每组40例。对照组实施常规GDM健康教育及护理干预,观察组则在对照组的基础上重点加强个性化行为干预,重点做好患者的心理、营养、运动、血糖及回访等干预,测定干预前后患者孕期体重、血糖指标,调查患者对干预满意率,并比较。结果 两组干预前孕期体重、空腹血糖、餐后2 h血糖对比差异无统计学意义(P> 0. 05),干预后观察组均明显低于对照组(P<0. 05);观察组患者依从性、对干预满意率明显高于对照组(P<0. 05)。结论 GDM患者加强健康教育联合个性化行为干预,可以提高患者的依从性,从而有效控制孕期体重增长,并且更好地改善患者的血糖指标,值得临床推广。

     

    Abstract: Objective To investigate the effect of health education combined with personalized behavioral intervention on pregnancy compliance,gestational weight and blood glucose in patients with gestational diabetes mellitus (GDM).Methods A total of 80 cases of GDM patients admitted to our hospital from June 2018 to June 2019 were selected as research objects and divided into two groups by random number method with 40 cases in each group. The control group received conventional GDM health education and nursing intervention,while the observation group focused on strengthening personalized behavioral intervention,focusing on the intervention of patients' psychology,nutrition,exercise,blood sugar and return visits on the basis of the control group.,The gestational weight and blood glucose indexes of patients before and after the intervention were measured,and the satisfaction rate of patients with the intervention was investigated and compared.Results There was no significant difference between the two groups in the gestational weight,fasting blood glucose and postprandial 2 h blood glucose before intervention (P > 0. 05). However,the observation group was significantly lower than the control group after intervention (P< 0. 05). The compliance and satisfaction rates of the observation group were significantly higher than those of the control group (P< 0. 05).Conclusion Intensive health education combined with personalized behavioral intervention in GDM patients can improve patient compliance,effectively control the weight gain during pregnancy,and better improve the blood glucose index of patients,which is worthy of clinical promotion.

     

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