摘要
目的探讨基于健康知信行的护理干预对妊娠期糖尿病中医治疗患者健康行为及血糖控制的影响。方法选取2019年8月—2020年8月深圳市宝安区中医院收治的82例妊娠期糖尿病患者,均行中医治疗,以患者护理意愿分为两组,各41例。对照组实施常规护理,观察组在此基础上行基于健康知信行的护理干预,对两组干预结果进行比较。结果干预前,两组饮食管理、运动管理、用药管理、血糖监测各维度健康行为评分对比,差异无统计学意义(P>0.05);干预后,观察组各维度评分较对照组高,差异有统计学意义(P<0.05);干预前,两组血糖水平对比,差异无统计学意义(P>0.05);干预后,观察组血糖水平较对照组低,差异有统计学意义(P<0.05);观察组不良分娩结局发生率为4.88%,较对照组19.51%低,差异有统计学意义(P<0.05);干预前,两组症状管理、共性管理各维度自我效能感评分对比,差异无统计学意义(P>0.05);干预后,观察组各维度自我效能感评分较对照组高,差异有统计学意义(P<0.05)。结论基于健康知信行的护理干预在妊娠期糖尿病患者中应用价值较高,可提高患者健康行为及自我效能感,有效控制血糖水平,改善分娩结局。
Objective To explore the effect of nursing intervention based on health knowledge,belief,and behavior on health behavior and blood glucose control in patients with gestational diabetes mellitus treated by traditional Chinese medicine.Methods A total of 82 patients with gestational diabetes mellitus admitted to Bao’an District Hospital of Traditional Chinese Medicine in Shenzhen from August 2019 to August 2020 were selected and all patients were treated with traditional Chinese medicine.According to the patients’nursing intention,they were divided into two groups,41 cases in each group.The control group received routine nursing,while the observation group received nursing intervention based on knowledge,attitude and practice.The intervention results of the two groups were compared.Results Before intervention,there were no significant differences in the scores of diet management,exercise management,medication management and blood glucose monitoring between the two groups(P>0.05).After intervention,the scores of each dimension in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in blood glucose levels between the two groups(P>0.05).After intervention,the blood glucose level of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse delivery outcomes in the observation group was 4.88%,which was lower than that in the control group 19.51%,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in self-efficacy scores of symptom management and common management between the two groups(P>0.05).After intervention,the scores of self-efficacy in each dimension of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on health knowledge,belief and behavior has high application value in patients with gestational diabetes mellitus,which can improve patients’healthy behavior and self-efficacy,and effectively control blood glucose level.
作者
黄爱月
钟良慧
林少英
HUANG Aiyue;ZHONG Lianghui;LIN Shaoying(Outpatient Department of Traditional Chinese Medicine Hospital of Bao'an District,Shenzhen,Shenzhen,Guangdong Province,518101 China)
出处
《糖尿病新世界》
2022年第16期5-8,共4页
Diabetes New World Magazine
关键词
健康知信行
护理干预
妊娠期糖尿病
健康行为
血糖控制
Health knowledge
belief and behavior
Nursing intervention
Gestational diabetes mellitus
Health behavior
Blood glucose control
