以问题为基础健康教育对妊娠期糖尿病患者疾病知识及自我效能的影响

发布时间：2018-06-17 14:59

本文选题：以问题为基础 + 健康教育　；参考：《护理实践与研究》2016年21期

【摘要】：目的:探讨产前以问题为基础(PBL)式健康教育对妊娠糖尿病(GDM)患者疾病知识及自我效能的影响。方法:选取2015年6月~2016年6月本院妇产科收治的经糖耐量测试确诊为GDM的患者128例,将患者随机等分为观察组及对照组,对照组产前采用常规性健康教育;观察组产前应用PBL式健康教育,比较两组患者干预前后疾病知识及自我效能的变化。结果:干预后观察组在饮食、运动、血糖监测、药物应用、并发症预防及分娩等方面知识评分高于对照组(P0.05),自我效能评分也高于对照组(P0.05),血糖控制良好率、遵医行为率高于对照组(P0.05),剖宫产率、巨大儿出生率、早产儿出生率均低于对照组(P0.05)。结论:产前PBL健康教育能有效提高GDM患者疾病知识及自我效能,提高GDM产妇遵医行为,有利于降低母婴并发症的发生。
[Abstract]:Objective: to explore the effect of prenatal PBL health education on disease knowledge and self-efficacy of gestational diabetes mellitus (GDM) patients. Methods: 128 patients with GDM diagnosed by glucose tolerance test from June 2015 to June 2016 were randomly divided into observation group and control group. In the observation group, PBL health education was used to compare the changes of disease knowledge and self-efficacy between the two groups before and after intervention. Results: the scores of knowledge about diet, exercise, blood glucose monitoring, drug use, complication prevention and delivery in the observation group were higher than those in the control group (P 0.05), the self-efficacy score was also higher than that in the control group (P 0.05), and the blood glucose control rate was good. The rate of compliance with medical treatment was higher than that of control group (P 0.05), the rate of cesarean section, the birth rate of macrosomia and the birth rate of premature infants were all lower than those of the control group (P 0.05). Conclusion: prenatal PBL health education can effectively improve the disease knowledge and self-efficacy of GDM patients, improve the compliance behavior of GDM parturient, and reduce the incidence of maternal and infant complications.
【作者单位】：济钢集团有限公司总医院妇产科;
【分类号】：R473.71

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