护士为主导的症状自我管理项目对妊娠糖尿病患者血糖控制行为的影响

Efficacy of nurse-led supportive symptom self-management programme on glycemic control behavior of patients with gestational diabetes mellitus

目的探讨护士为主导症状自我管理项目对于妊娠糖尿病血糖控制行为的影响。方法选择2016年12月至2017年12月在门诊招募的妊娠糖尿病患者88名,按照随机数字表法分为观察组与对照组各44例。对照组行常规健康教育,观察组接受12周的以护士为主导的症状自我管理项目进行干预。比较干预后两组患者的血糖控制,自护行为以及授权能力。结果观察组餐前餐后血糖、HbA1c数值明显低于对照组,差异有统计学意义(P<0.01);观察组SDSCA量表各维度得分显著高于对照组(P<0.01);观察组DES-SF总得分显著高于对照组(P<0.01)。结论 12周的护士为主导的症状自我管理项目可改善其自护行为与授权能力,进而促进GDM血糖控制效果。

Objective To evaluate the efficacy of nurse-led supportive symptom self-management programme on glycemic control, self-care behavior and empowerment of patients of gestational diabetes mellitus. Methods Firstly, 88 clinical patients of gestational diabetes mellitus selected during the period from December 2016 to December 2017 were randomly divided into a control group ( n =44) and an experimental group ( n =44). The control group were provided with conventional health education while the experimental group were treated with nurse-led supportive symptom self-management programme for a period of 12 weeks. The glycemic control, self-care behavior and empowerment of the two groups as observed after intervention were compared. Results Compared with those of the control group, the serum levels of preprandial and postprandial blood glucose and HbA1c of the experimental group were lower. The difference was statistically significant ( P <0.01). The SDSCA scale scores and DES-SF scores achieved by the experimental group were higher than those of the control ( P <0.01). Conclusions 12 weeks of nurse-led supportive symptom self-management programme can control the blood glucose, improve the self-care behavior and enhance the empowerment of the patients.