妊娠期糖尿病患者自我管理行为现状的调查与研究

发布时间：2018-04-24 11:44

  本文选题：妊娠期糖尿病 + 自我管理　； 参考：《中国妇产科临床杂志》2017年03期

【摘要】：目的探讨妊娠期糖尿病患者自我管理行为现状及水平,与母婴并发症间的关系。方法采用自行设计的一般资料调查表及GDM自我管理行为问卷表对950例GDM患者进行调查研究。结果 (1)妊娠期糖尿病患者自我管理行为总得分率仅为63.14%,各维度得分率由高到低依次为运动管理、饮食控制、定期复查、血糖监测、体重管理、药物治疗;(2)自我管理水平的不同等级比较:总体自我管理水平良好者占30.95%,中等者占29.47%,差者占39.58%。其中自我管理水平处于良好者所占百分比最高及最低分别为运动管理、药物治疗;(3)自我管理水平良好或中等者围生期母儿并发症(妊娠期高血压疾病、羊水过多、产后出血,巨大儿、新生儿窒息、新生儿低血糖、死胎)的发生率均明显低于自我管理水平差者(P0.05)。结论目前GDM病患者自我管理行为不是非常理想,自我管理水平不高,良好的自我管理水平可减少母婴并发症。
[Abstract]:Objective to investigate the present situation and level of self-management behavior in gestational diabetes mellitus (GDM) and the relationship between self-management behavior and maternal and infant complications. Methods the self-designed general information questionnaire and GDM self-management behavior questionnaire were used to investigate 950 patients with GDM. Results 1) the total score rate of self-management behavior in gestational diabetes mellitus patients was only 63.14. The score rate of each dimension was in order of exercise management, diet control, regular reexamination, blood glucose monitoring and weight management. Comparison of different levels of self-management level of drug therapy: 30.95% of the total self-management level was good, 29.47% of the middle, 39.58% of the poor. Among them, the percentage of those with good self-management level was the highest and the lowest was movement management. The patients with good self-management level or moderate self-management level had perinatal complications (hypertensive disorder complicating pregnancy, amniotic fluid excess, postpartum hemorrhage). The incidence of macrosomia, neonatal asphyxia, neonatal hypoglycemia and stillbirth) were significantly lower than those with poor self-management. Conclusion at present, the self-management behavior of GDM disease patients is not very ideal, the level of self-management is not high, and a good level of self-management can reduce the complications of mother and child.
【作者单位】： 浙江医院妇产科;浙江大学医学院附属妇产科医院妇产科;
【分类号】：R714.256
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本文编号：1796484