以家庭为中心的赋能教育对妊娠糖尿病孕产妇血糖控制及母乳喂养自我效能的影响(1)
[摘要] 目的 探究以家庭为中心的赋能教育对妊娠糖尿病孕产妇血糖控制及母乳喂养自我效能的影响。方法 选择2017年10月—2018年7月在该院进行定期孕前检查的76例妊娠期糖尿病孕产妇为研究对象，以随机抽签法将其分为两组，每组各38例，对照组予以常规孕期保健，观察组在对照组的基础上实施以家庭为中心的赋能教育，比较两组干预前后孕产妇的血糖水平及其母乳喂养情况。 结果 干预前，两组孕产妇的空腹血糖、餐后2 h血糖差异无统计学意义(P>0.05)，干预12周后，观察组孕产妇的上述各项血糖指标均显著优于对照组，且患者血糖控制达标率也显著高于对照组，差异有统计学意义(P<0.05)。观察组初产妇分娩后42 d的母乳喂养自我效能评分以及纯母乳喂养率均明显高于对照组，差异有统计学意义(P<0.05)。结论 以家庭为中心的赋能教育能够有效控制妊娠糖尿病孕产妇的血糖水平，改善妊娠结局，同时还可以提高产妇的母乳喂养自我效能，促进其母乳喂养行为。
[关键词] 妊娠糖尿病;以家庭为中心的赋能教育;血糖控制;母乳喂养
[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062(2020)01(b)-0015-03
[Abstract] Objective To investigate the effect of family-centered empowerment education on maternal glycemic control and breastfeeding self-efficacy in gestational diabetes. Methods 76 pregnant women with gestational diabetes who underwent regular pre-pregnancy examinations from October 2017 to July 2018 were enrolled in the study. They were divided into two groups by random lottery， 38 in each group. During pregnancy， the observation group implemented family-centered empowerment education on the basis of the control group， and compared the maternal blood glucose levels and breastfeeding before and after the intervention. Results Before intervention， there was no significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups (P>0.05). After 12 weeks of intervention， the above-mentioned blood glucose indexes of the pregnant women in the observation group were significantly better than the control group. The patient's blood glucose control compliance rate was also significantly higher than the control group，the difference was statistically significant(P<0.05). The breastfeeding self-efficacy score and the exclusive breastfeeding rate of the primiparas in the observation group 42 days after delivery were significantly higher than those in the control group，the difference was statistically significant，the difference was statistically significant(P<0.05). Conclusion Family-centered empowerment education can effectively control the blood glucose level of pregnant women with gestational diabetes， improve pregnancy outcomes， and improve maternal breastfeeding self-efficacy and promote breastfeeding behavior.
[Key words] Gestational diabetes; Family-centered empowerment education; Blood glucose control; Breastfeeding
妊娠糖尿病是妊娠期較为常见的一种妊娠合并症，主要是指孕产妇在妊娠期首次发生或发现的糖耐量异常。妊娠糖尿病是妊娠、分娩的高危因素，若本病孕产妇血糖控制不佳不仅会引发羊水过多、酮症酸中毒、胎儿畸形、胎儿生长受限、早产等，还会使产妇产后康复速度变慢，母乳喂养率低，对母婴健康造成不良影响。以家庭为中心的赋能教育主要是通过利用相关家庭系统理论对患者实施切实可行的以家庭为中心的护理措施，给患者及其家庭予以充分的支持[1]。该科为改善妊娠糖尿病孕产妇的血糖水平，提高其母乳喂养效能，选取2017年10月—2018年7月妊娠糖尿病者实施以家庭为中心的赋能教育，具体报道如下。, 百拇医药(梁世芳 毛莹)
[关键词] 妊娠糖尿病;以家庭为中心的赋能教育;血糖控制;母乳喂养
[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062(2020)01(b)-0015-03
[Abstract] Objective To investigate the effect of family-centered empowerment education on maternal glycemic control and breastfeeding self-efficacy in gestational diabetes. Methods 76 pregnant women with gestational diabetes who underwent regular pre-pregnancy examinations from October 2017 to July 2018 were enrolled in the study. They were divided into two groups by random lottery， 38 in each group. During pregnancy， the observation group implemented family-centered empowerment education on the basis of the control group， and compared the maternal blood glucose levels and breastfeeding before and after the intervention. Results Before intervention， there was no significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups (P>0.05). After 12 weeks of intervention， the above-mentioned blood glucose indexes of the pregnant women in the observation group were significantly better than the control group. The patient's blood glucose control compliance rate was also significantly higher than the control group，the difference was statistically significant(P<0.05). The breastfeeding self-efficacy score and the exclusive breastfeeding rate of the primiparas in the observation group 42 days after delivery were significantly higher than those in the control group，the difference was statistically significant，the difference was statistically significant(P<0.05). Conclusion Family-centered empowerment education can effectively control the blood glucose level of pregnant women with gestational diabetes， improve pregnancy outcomes， and improve maternal breastfeeding self-efficacy and promote breastfeeding behavior.
[Key words] Gestational diabetes; Family-centered empowerment education; Blood glucose control; Breastfeeding
妊娠糖尿病是妊娠期較为常见的一种妊娠合并症，主要是指孕产妇在妊娠期首次发生或发现的糖耐量异常。妊娠糖尿病是妊娠、分娩的高危因素，若本病孕产妇血糖控制不佳不仅会引发羊水过多、酮症酸中毒、胎儿畸形、胎儿生长受限、早产等，还会使产妇产后康复速度变慢，母乳喂养率低，对母婴健康造成不良影响。以家庭为中心的赋能教育主要是通过利用相关家庭系统理论对患者实施切实可行的以家庭为中心的护理措施，给患者及其家庭予以充分的支持[1]。该科为改善妊娠糖尿病孕产妇的血糖水平，提高其母乳喂养效能，选取2017年10月—2018年7月妊娠糖尿病者实施以家庭为中心的赋能教育，具体报道如下。, 百拇医药(梁世芳 毛莹)