＂PENDER健康促进理论＂在妊娠糖尿病健康教育一日课堂中的应用

Application of ＂PENDER health promotion theory＂ in the one-day class of health education for gestational diabetes mellitus

目的 探讨＂PENDER健康促进理论＂在妊娠糖尿病健康教育一日课堂中的应用效果.方法 选取2015年3月—2016年2月在安徽省妇幼保健院接受治疗的妊娠糖尿病孕妇132名,按照随机数字表法分为观察组和对照组,两组各66名,对照组在一日课堂中接受常规教育,观察组以PENDER健康促进理论为指导进行课堂教育,持续3个月,比较两组孕妇的妊娠结局及血糖控制情况和糖尿病知识掌握情况.结果 观察组和对照组妊娠糖尿病知识掌握合格率分别为86.4％、66.7％,两组比较差异有统计学意义（χ2=5.682,P〈0.05）;观察组血糖控制合格率为87.9％,对照组为69.7％,两组比较差异有统计学意义（χ2=6.152,P〈0.05）.观察组晚期流产、早产、产褥感染率分别为4.5％、15.1％和7.6％,对照组分别为13.6％、34.8％和18.2％,两组比较差异有统计学意义（χ2值分别为6.172、6.938、6.552;P〈0.05）.结论 利用＂PENDER健康促进理论＂在妊娠糖尿病健康教育一日课堂中进行讲授,有利于孕妇了解妊娠糖尿病知识,进而有利于血糖的降低,减少早产、产褥感染、流产等不良事件的发生.

Objective To explore the application effect of ＂PENDER health promotion theory＂ in the one-day class of health education for gestational diabetes mellitus.Methods A total of 132 pregnant women with gestational diabetes mellitus treated in Anhui Women and Child Health Care Hospital from March 2015 to February 2016 were selected and randomly divided into the experimental group and the control group, 66 cases respectively. Pregnant women in the control group received routine health education, while pregnant women in the experiment group received PENDER health promotion theory in the health education. After three months, the blood glucose control, the outcome and mastery of diabetes knowledge of patients were compared between the two groups.Results The qualified rate of gestational diabetes knowledge in the experimental group and the control group were 86.4％ and 66.7％ respectively. There was a significant difference between the two groups （χ2=5.682,P〈0.05）. The qualified rate of blood glucose control in the experimental group was 87.9％, which was significantly higher than that of the control group （69.7％） （χ2=6.152,P〈0.05）. The rates of late abortion, premature birth, and mattress infection in the experimental group were 4.5％, 15.1％ and 7.6％, and those in the control group were 13.6％, 34.8％ and 18.2％. There were statistically significant differences between the two groups （χ2=6.172, 6.938, 6.552;P〈0.05）.Conclusions The application of ＂PENDER health promotion theory＂ in the one-day class of health education for gestational diabetes mellitus can better help pregnant women understand knowledge of gestational diabetes so as to reduce the blood glucose and decrease the incidence of premature birth, infection, abortion and other adverse events.