高校附属医院城市社区授权教育对妊娠期糖尿病患者的影响研究

Effect of empowerment education of affiliated hospital of medical college and community used in gestational diabetes mellitus

目的:探讨传统健康教育和高校附属医院城市社区授权教育两种方式对妊娠糖尿病患者进行干预的影响。方法:采用随机数字表法将社区的60例妊娠糖尿病患者分为干预组和对照组各30例,干预组采用高校附属医院城市社区授权教育管理,对照组采用常规的健康教育管理。分别在干预前、干预3、6个月后检测患者的空腹血糖和餐后2 h血糖,在干预12个月结束后给患者发放生存质量量表SF-36。结果:干预组的空腹血糖、餐后2 h血糖、生存质量等指标明显优于对照组,差异有统计学意义(P<0.05);孕妇及新生儿的并发症率明显低于对照组,差异有统计学意义(P<0.05)。结论:经1年的社区授权教育管理模式取得了较好的效果,值得推广。

Objective：To compare the influence of traditional health education and empowerment education of affiliated hospital of medical college and community on gestational diabetes mellitus（GDM）.Methods：The study was a randomized clinical trial（RCT）.60 GDM patients were randomly divided into the intervention group and the control group.Patients in intervention group（n=30）received empowerment education,while in the control group（n=30） received traditional health education.Full blood glucose（FBG） and PBG2h were measured at before intervention,3 and 6 months after intervention,SF-36 quality of life scale was measured after intervention 12 months.Results：There were significant differences（P＆lt;0.05） in FBG,PBG2h,the SF-36 quality of life scale and the complication rate of pregnant women and newborns between two groups.Conclusion：After one year of health education intervention,this model has achieved good results,which is worthy to be popularized.