中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
949-952
,共4页
妊娠期糖尿病%营养%教育%效果
妊娠期糖尿病%營養%教育%效果
임신기당뇨병%영양%교육%효과
gestational diabetes mellitus ( GDM)%nutrition%education%effect
目的：探讨营养知、信、行（ KAP）教育对妊娠期糖尿病（ GDM）的治疗效果。方法将126例GDM患者随机分为干预组和对照组，对照组进行常规护理并发放资料，干预组在此基础上实施为期6周的GDM知识、态度、行为营养KAP教育。比较两组在教育前和教育后糖尿病知识量表（ADKnowl）、第3版糖尿病态度量表（DAS-3）、糖尿病自我管理行为量表（SDSCA）修订版的得分及空腹血糖（FBG）、餐后2小时血糖（2hPBG）和糖化血红蛋白（HbA1c）。结果干预组ADKnowl、DAS-3、SDSCA得分均提高（tADKnowl值为－2．38～－12．01，tDAS－3值为－6．29～－19．82，tSDSCA值为－2．90～－12．90，均P＜0．05），与对照组比较差异有统计学意义（tADKnowl值为2．39～15．39，tDAS－3值为5．48～20．96，tSDSCA值为2．75～－14．58，均P＜0．05），对照组则无明显变化。两组FBG、2hPBG、HbA1c均降低，但干预组与对照组相比效果更为明显（ t 值分别为－2．09、－25．44、－5．37，均 P＜0．05）。结论营养KAP教育可改善GDM患者知识、态度、自我管理行为和血糖状况。
目的：探討營養知、信、行（ KAP）教育對妊娠期糖尿病（ GDM）的治療效果。方法將126例GDM患者隨機分為榦預組和對照組，對照組進行常規護理併髮放資料，榦預組在此基礎上實施為期6週的GDM知識、態度、行為營養KAP教育。比較兩組在教育前和教育後糖尿病知識量錶（ADKnowl）、第3版糖尿病態度量錶（DAS-3）、糖尿病自我管理行為量錶（SDSCA）脩訂版的得分及空腹血糖（FBG）、餐後2小時血糖（2hPBG）和糖化血紅蛋白（HbA1c）。結果榦預組ADKnowl、DAS-3、SDSCA得分均提高（tADKnowl值為－2．38～－12．01，tDAS－3值為－6．29～－19．82，tSDSCA值為－2．90～－12．90，均P＜0．05），與對照組比較差異有統計學意義（tADKnowl值為2．39～15．39，tDAS－3值為5．48～20．96，tSDSCA值為2．75～－14．58，均P＜0．05），對照組則無明顯變化。兩組FBG、2hPBG、HbA1c均降低，但榦預組與對照組相比效果更為明顯（ t 值分彆為－2．09、－25．44、－5．37，均 P＜0．05）。結論營養KAP教育可改善GDM患者知識、態度、自我管理行為和血糖狀況。
목적：탐토영양지、신、행（ KAP）교육대임신기당뇨병（ GDM）적치료효과。방법장126례GDM환자수궤분위간예조화대조조，대조조진행상규호리병발방자료，간예조재차기출상실시위기6주적GDM지식、태도、행위영양KAP교육。비교량조재교육전화교육후당뇨병지식량표（ADKnowl）、제3판당뇨병태도량표（DAS-3）、당뇨병자아관리행위량표（SDSCA）수정판적득분급공복혈당（FBG）、찬후2소시혈당（2hPBG）화당화혈홍단백（HbA1c）。결과간예조ADKnowl、DAS-3、SDSCA득분균제고（tADKnowl치위－2．38～－12．01，tDAS－3치위－6．29～－19．82，tSDSCA치위－2．90～－12．90，균P＜0．05），여대조조비교차이유통계학의의（tADKnowl치위2．39～15．39，tDAS－3치위5．48～20．96，tSDSCA치위2．75～－14．58，균P＜0．05），대조조칙무명현변화。량조FBG、2hPBG、HbA1c균강저，단간예조여대조조상비효과경위명현（ t 치분별위－2．09、－25．44、－5．37，균 P＜0．05）。결론영양KAP교육가개선GDM환자지식、태도、자아관리행위화혈당상황。
Objective To study the therapeutic effect of nutritional knowledge-attitude-practice (KAP) education on gestational diabetes mellitus ( GDM) .Methods Totally 126 outpatients with GDM were randomly divided into intervention group and control group.The control group was given routine nursing care and information, while the intervention group accepted 6-week KAP nutrition education based on the treatment for the control group.The scores of the audit of diabetes knowledge(ADKnowl), the third version of Diabetes Attitude Scale (DAS-3) and the summary of diabetes self-care activities (SDSCA) were compared between two groups before and after education, and fasting plasma glucose (FBG), 2h postprandial glucose (2hPBG) and glycated hemoglobin (HbA1c) were compared as well.Results After the intervention, the scores of ADKnowl, DAS-3 and SDSCA increased in the intervention group (tADKnowl was -2.38-12.01,tDAS-3 was -6.29-19.8, tSDSCAwas -2.90-12.90, respectively, all P<0.05).They were significantly different from those of the control group (tADKnowl was 2.39-15.39, tDAS-3 was 5.48-20.96, tSDSCA was 2.75-14.58, respectively, all P<0.05).The scores of the control group did not change significantly.The FBG, 2hPBG and HbA1c decreased in both groups, but the effect was more obvious in the intervention group (t value was -2.09, -25.44 and -5.37, respectively, all P<0.05).Conclusion The nutritional KAP education can improve the levels of knowledge, attitude, self-management behavior and the blood glucose condition in patients with GDM.
