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(1)
[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。
[关键词]知信行模型;护理干预;妊娠期糖尿病
[中图分类号] R714.2 [文献标识码] A [文章编号] 1674-4721(2019)2(a)-0207-04
[Abstract] 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.
[Key words] Knowledge Attitude Belief practice; Nursing intervention; Gestational diabetes
妊娠期糖尿病(gestational diabetes mellitus，GDM)是指在妊娠期间首次发生或发现的任何程度的糖代谢异常[1]。随着生活水平的提高，生活方式和饮食习惯的变化，GDM的发病率逐年升高[2-4]。国际糖尿病联合会调查数据显示，2013年全世界23～49岁妊娠期妇女GDM发病率为14.9%[5]。国内一项多中心研究显示我国GDM的发病率约占全部妊娠的17.5%[6]。GDM已成为妊娠中晚期孕妇的常见病和多发病，严重威胁着母婴的健康。GDM孕妇的妊娠结局与其血糖控制和营养摄入情况密切相关[7-8]。因此，指导GDM孕妇自我监测血糖，帮助孕妇建立良好的健康行为，增强孕妇的依从性，通过合理的饮食运动控制孕期体重增长，从而改善妊娠結局显得尤为重要。本研究将基于知信行模型的护理干预应用于GDM孕妇的护理中，取得了良好的效果，现报道如下。
1资料与方法
1.1一般资料, http://www.100md.com(谭鸿霞 文娟 陈雷宁)
[关键词]知信行模型;护理干预;妊娠期糖尿病
[中图分类号] R714.2 [文献标识码] A [文章编号] 1674-4721(2019)2(a)-0207-04
[Abstract] 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.
[Key words] Knowledge Attitude Belief practice; Nursing intervention; Gestational diabetes
妊娠期糖尿病(gestational diabetes mellitus，GDM)是指在妊娠期间首次发生或发现的任何程度的糖代谢异常[1]。随着生活水平的提高，生活方式和饮食习惯的变化，GDM的发病率逐年升高[2-4]。国际糖尿病联合会调查数据显示，2013年全世界23～49岁妊娠期妇女GDM发病率为14.9%[5]。国内一项多中心研究显示我国GDM的发病率约占全部妊娠的17.5%[6]。GDM已成为妊娠中晚期孕妇的常见病和多发病，严重威胁着母婴的健康。GDM孕妇的妊娠结局与其血糖控制和营养摄入情况密切相关[7-8]。因此，指导GDM孕妇自我监测血糖，帮助孕妇建立良好的健康行为，增强孕妇的依从性，通过合理的饮食运动控制孕期体重增长，从而改善妊娠結局显得尤为重要。本研究将基于知信行模型的护理干预应用于GDM孕妇的护理中，取得了良好的效果，现报道如下。
1资料与方法
1.1一般资料, http://www.100md.com(谭鸿霞 文娟 陈雷宁)