CAJ | 학술논문

目的：加强对妊娠糖尿病患者做健康教育，使孕妇更好地掌握糖尿病相关知识，规范生活方式，提高健康素养，使血糖达标。方法：收集住院妊娠糖尿病孕妇38例为观察组，同时选门诊围产期妊娠糖尿病孕妇38例为对照组。观察组采取糖尿病健康知识宣教和定期分阶段发放调查问卷，了解对糖尿病相关知识的掌握程度；对照组采取发放健康教育手册和就诊时医生的口头健康教育，无糖尿病知识定期评估，未规范监测血糖。对两组健康宣教前后对妊娠糖尿病相关知识的掌握程度进行比较；对观察组的空腹血糖、餐后血糖进行比较。结果：观察组妊娠糖尿病相关知识了解情况由宣教前的30%提高到95%，差异有统计学意义（P<0.05）；对照组由30%提高到60%，差异无统计学意义（P>0.05）；两组间比较差异有统计学意义（P<0.05）。观察组宣教前后的空腹血糖和餐后血糖比较差异均有统计学意义（P<0.05）。结论：加强健康教育，可增加糖尿病孕妇对相关知识的了解度，提高治疗依从性，使其保持理想的血糖指标。
목적：가강대임신당뇨병환자주건강교육，사잉부경호지장악당뇨병상관지식，규범생활방식，제고건강소양，사혈당체표。방법：수집주원임신당뇨병잉부38례위관찰조，동시선문진위산기임신당뇨병잉부38례위대조조。관찰조채취당뇨병건강지식선교화정기분계단발방조사문권，료해대당뇨병상관지식적장악정도；대조조채취발방건강교육수책화취진시의생적구두건강교육，무당뇨병지식정기평고，미규범감측혈당。대량조건강선교전후대임신당뇨병상관지식적장악정도진행비교；대관찰조적공복혈당、찬후혈당진행비교。결과：관찰조임신당뇨병상관지식료해정황유선교전적30%제고도95%，차이유통계학의의（P<0.05）；대조조유30%제고도60%，차이무통계학의의（P>0.05）；량조간비교차이유통계학의의（P<0.05）。관찰조선교전후적공복혈당화찬후혈당비교차이균유통계학의의（P<0.05）。결론：가강건강교육，가증가당뇨병잉부대상관지식적료해도，제고치료의종성，사기보지이상적혈당지표。
Objective:To strengthen the health education of pregnant women with gestational diabetes mellitus (GDM),study more knowledge of diabetes who are in pregnancy,make regularize lifestyles,improve the health literacy and target blood glucose.Method:This paper collected 38 GDM pregnant in our hospital were selected as the observation group and 38 outpatient perinatal pregnant women with GDM as the control group. Firstly,diabetes health knowledge was broadcasted to the observation group,and questionnaires were regularly issued in the light of every stage;the control group was given health education manual and the doctor oral health education,without regular evaluation of diabetes knowledge, without standard monitoring of blood sugar. The degree of mastering diabetes knowledge of the two groups was contrasted, and the fasting blood-glucose with postprandial blood sugar of the observation group were contrasted.Result:The ratio of the diabetes knowledge in the observation group was highly raised from 30%to 95%after the education,the difference was statistically significant(P<0.05). The control group was raised from 30%to 60%,there was no statistically significant difference(P>0.05). The difference between the two groups was statistically significant(P<0.05). Before and after the education,the fasting blood glucose and postprandial blood glucose of the observation group had statistically differences (P<0.05).Conclusion:Enhance health education,pregnant women can increase diabetes understanding of relevant knowledge,improve the treatment compliance,to keep its ideal blood sugar.