家属参与的健康教育对妊娠期糖尿病孕妇治疗效果的影响

Effect of health education involving family members on the therapeutic effects of pregnant women with gestational diabetes mellitus

目的探讨家属参与的健康教育对妊娠期糖尿病(GDM)孕妇治疗效果的影响。方法选取西北妇女儿童医院产科门诊的344例GDM孕妇作为研究对象,按照有无家属参与健康教育将其分为两组,其中对照组181例(仅孕妇参与)、观察组163例(除孕妇外,至少有一个家庭成员参与)。比较两组孕妇的依从性、血糖控制满意率、降糖药物使用率及妊娠并发症发生情况。结果观察组依从性为优的孕妇占比显著高于对照组(P<0.01)。观察组血糖控制满意率显著高于对照组(P<0.01)。观察组的降糖药物使用率显著低于对照组(P<0.01)。观察组早产、巨大儿、羊水过多及妊娠期高血压疾病的发生率均显著低于对照组(P<0.01)。结论家属参与的健康教育能更好地提高GDM孕妇的治疗效果,减少并发症的发生,值得临床推广应用。

Objective To explore the effect of health education involving family members on the therapeutic effects of pregnant women with gestational diabetes mellitus(GDM).Methods A total of 344 pregnant women with GDM in obstetric clinic of northwest women's and children's hospital were selected as the research objects and divided into two groups according to whether their families participated in health education or not.There were 181 cases in the control group(only pregnant women participated)and 163 cases in the observation group(except pregnant women,at least one family member participated).The compliance of pregnant women,satisfaction rate of blood sugar control,use rate of hypoglycemic drugs and occurrence of pregnancy complications were compared between the two groups.Results The proportion of pregnant women with excellent compliance in the observation group was significantly higher than that in the control group(P<0.01).The satisfaction rate of blood sugar control in the observation group was significantly higher than that in the control group(P<0.01).The use rate of hypoglycemic drugs in the observation group was significantly lower than that in the control group(P<0.01).The incidence of premature birth,fetal macrosomia,polyhydramnios and hypertensive disorder complicating pregnancy in the observation group were significantly lower than those in the control group(P<0.01).Conclusion Health education involving family members can better improve the treatment effect of GDM pregnant women and reduce the incidence of complications,which is worthy of clinical promotion and application.