CAJ | 학술논문

目的：探讨饮食指导与健康教育对妊娠期糖尿病（ GDM）患者的影响，为进一步开展综合防治提供依据。方法：对60例GDM患者进行个体化饮食指导、生活方式干预、健康教育及心理护理，比较干预前后血糖变化和疾病防治知识掌握情况。结果：干预后患者空腹血糖、餐后2 h血糖分别为（5．40±0．54）mmol/L、（7．22±1．17）mmol/L，均低于对照组（P＜0．05）；GDM相关知识达标率100．0％、饮食与运动知识达标率81．7％，均高于对照组（P＜0．05）。结论：孕早期进行饮食指导是预防GDM的关键，对GDM患者实行社区健康管理团队式的个体化健康教育能有效控制血糖，减少不良妊娠结局。
목적：탐토음식지도여건강교육대임신기당뇨병（ GDM）환자적영향，위진일보개전종합방치제공의거。방법：대60례GDM환자진행개체화음식지도、생활방식간예、건강교육급심리호리，비교간예전후혈당변화화질병방치지식장악정황。결과：간예후환자공복혈당、찬후2 h혈당분별위（5．40±0．54）mmol/L、（7．22±1．17）mmol/L，균저우대조조（P＜0．05）；GDM상관지식체표솔100．0％、음식여운동지식체표솔81．7％，균고우대조조（P＜0．05）。결론：잉조기진행음식지도시예방GDM적관건，대GDM환자실행사구건강관리단대식적개체화건강교육능유효공제혈당，감소불량임신결국。
Objective:To explore the impact of dietary guidance and health education on patients with gestational diabetes mellitus ( GDM) in order to provide basis for comprehensive prevention and control of the disease .Methods:60 GDM patients were given individu-alized dietary guidance ,lifestyle intervention ,health education and psychological care .The change of blood glucose level and patient's grasp of relevant knowledge about the prevention and control of the disease were compared before and after the intervention .Results:After the in-tervention,the fasting blood glucose level and 2 h postprandial blood glucose level were (5.40 ±0.54) mmol/L and (7.22 ±1.17)mmol/L(P<0.05);the up-to-standard rate of grasping GDM related knowledge was 100%and grasping diet and exercise related knowledge was 81.7%(P<0.05).Conclusion:The dietary guidance in early pregnant stage is the key to the prevention of GDM .The individualized dietary guidance in community health management can effectively control blood glucose level and reduce the adverse pregnancy outcome in GDM patients .