摘要
目的探讨基于行为改变理论的健康教育对妊娠期糖尿病(GMD)患者体重管理、饮食及血糖控制的影响。方法选取2019年5月至2020年8月于上饶市妇幼保健院就诊的86例GMD患者作为研究对象,按照随机数字表法分为对照组和观察组,每组各43例。对照组实施常规健康教育干预,观察组实施基于行为改变理论的健康教育干预,比较两组的孕期增长体重、分娩体重、饮食控制情况、糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2 h PG)。结果观察组孕期增长体重、分娩体重均低于对照组,差异有统计学意义(P<0.05)。干预后,两组的谷物、豆类、乳类、盐类达标率均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组HbA1c、FPG、2 h PG水平均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于行为改变理论的健康教育有助于控制GMD患者体重变化,同时可改善其饮食、血糖控制情况,具有较高临床推广价值。
Objective To explore the effect of health education based on behavior change theory on weight management,diet and blood glucose control in patients with gestational diabetes mellitus(GDM).Methods A total of 86 patients with GMD who were treated in Shangrao Maternal and Child Health Hospital from May 2019 to August 2020 were selected as the research objects,and they were divided into control group and observation group according to the random number table method,with 43 cases in each group.The control group was given routine health education intervention,and observation group was treated with health education intervention based on behavior change theory.The weight gain during pregnancy and weight at childbirth,compliance rates of grain,bean product,milk product and salty food of the two groups were compared after 3 months of intervention.The glycosylated hemoglobin(HbA1c),fasting plasma glucose(FPG)and 2-hour postprandial blood glucose(2 h PG)before intervention and after 3 months of intervention of the two groups were compared.Results The weight gain during pregnancy and weight at childbirth in observation group were lower than those in control group(P<0.05).After 3 months of intervention,the compliance rates of grains,bean product,milk product and salty food in observation group were significantly increased compared to before intervention,and the compliance rates were higher in observation group than those in control group(P<0.05).The levels of HbA1c,FPG and 2 h PG in the two groups were reduced compared with those before intervention,and the levels of HbA1c,FPG and 2 h PG in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Health education based on behavior change theory can help control the weight change of patients with GMD,and can also improve the diet and blood glucose control,with a high clinical promotion value.
作者
梁洁
LIANG Jie(Department of Neonatology,Shangrao Maternal and Child Health Hospital,Jiangxi Province,Shangrao334000,China)
出处
《中国当代医药》
CAS
2021年第28期197-200,共4页
China Modern Medicine
基金
江西省上饶市科技计划项目(20202CKJ10)。
关键词
行为改变理论
健康教育
妊娠期糖尿病
体重管理
血糖控制
Behavior change theory
Health education
Gestational diabetes mellitus
Weight management
Blood glucose control
作者简介
梁洁(1984-),女,汉族,江西上饶人,研究方向:妇产科护理。
