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| Effect of health education based on behavior change theory on weight management, diet and blood glucose control in patients with gestational diabetes mellitus |
| LIANG Jie |
| Department of Neonatology, Shangrao Maternal and Child Health Hospital, Jiangxi Province, Shangrao 334000, China |
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Abstract Objective To explore the effect of health education based on behavior change theory on weight management, diet and blood glucose control in patients with gestational diabetes mellitus (GDM). Methods A total of 86 patients with GMD who were treated in Shangrao Maternal and Child Health Hospital from May 2019 to August 2020 were selected as the research objects, and they were divided into control group and observation group according to the random number table method, with 43 cases in each group. The control group was given routine health education intervention, and observation group was treated with health education intervention based on behavior change theory. The weight gain during pregnancy and weight at childbirth, compliance rates of grain, bean product, milk product and salty food of the two groups were compared after 3 months of intervention. The glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG) and 2-hour postprandial blood glucose (2 h PG) before intervention and after 3 months of intervention of the two groups were compared. Results The weight gain during pregnancy and weight at childbirth in observation group were lower than those in control group (P＜0.05). After 3 months of intervention, the compliance rates of grains, bean product, milk product and salty food in observation group were significantly increased compared to before intervention, and the compliance rates were higher in observation group than those in control group (P＜0.05). The levels of HbA1c, FPG and 2 h PG in the two groups were reduced compared with those before intervention, and the levels of HbA1c, FPG and 2 h PG in observation group were lower than those in control group, the differences were statistically significant (P＜0.05). Conclusion Health education based on behavior change theory can help control the weight change of patients with GMD, and can also improve the diet and blood glucose control, with a high clinical promotion value.
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| [1] |
王星，漆洪波.妊娠期糖尿病肠道菌群和代谢特征改变及其相互作用[J].中华围产医学杂志，2021，24（1）：39.
|
| [2] |
崔佳文，康心怡，蔡华，等.妊娠期糖尿病胎盘血管病变的相关研究进展[J].医学综述，2021，27（4）：757-764.
|
| [3] |
蓝蔚蔚.血红蛋白叶酸铁蛋白及同型半胱氨酸在妊娠期糖尿病患者中的表达及对妊娠结局的影响[J].中国妇幼保健，2021，36（3）：521-524.
|
| [4] |
陈小莲.孕期规范化管理联合膳食干预对妊娠期糖尿病高危产妇母婴结局及免疫功能的影响[J].国际护理学杂志，2021，40（2）：317-320.
|
| [5] |
贺笑茜，马秀华，高万里.饮食及运动联合干预对妊娠期糖尿病的影响[J].河北医药，2020，42（11）：1702-1704.
|
| [6] |
王颖，白桦，张凤芝，等.妊娠期糖尿病高危因素及预防措施研究进展[J].现代预防医学，2020，47（1）：156-159.
|
| [7] |
周爽，吴明珑，钟村花.基于健康行为改变理论的健康教育在骨肿瘤患者自我管理中的应用效果[J].国际护理学杂志，2021，40（2）：260-263.
|
| [8] |
杨振华.基于健康行为改变整合理论的健康教育在冠心病患者PCI 术后的应用[J].国际护理学杂志，2020，39（17）：3136-3139.
|
| [9] |
中华医学会妇产科学分会产科学组，中华医学会围产医学分会妊娠合并糖尿病协作组. 妊娠合并糖尿病诊治指南（2014）[J].中华妇产科杂志，2014，49（8）：561-569.
|
| [10] |
张艳利，王双，邢郑丽.基于计划行为理论的干预措施对脑梗死患者自我效能依从性及功能恢复的影响[J].临床心身疾病杂志，2021，27（1）：57-61.
|
| [11] |
陈健，沈山梅.饮食与肠道菌群的相互作用在妊娠期糖尿病中的研究[J].医学综述，2020，26（17）：3476-3480.
|
| [12] |
吴琳娜，贾蓉.低血糖生成指数膳食对妊娠期糖尿病患者糖脂代谢及母婴结局的影响[J].海南医学，2020，31（4）：455-458.
|
| [13] |
李春玲，王英华，吴娟，等.个体化医学营养指导对孕妇体重及妊娠结局的影响[J].中国生育健康杂志，2020，31（6）：554-557.
|
| [14] |
周桔丰，张瑞城，苏小玉，等.基于孕妇学校的饮食健康教育对妊娠期糖尿病患者的影响[J].中国健康教育，2020，36（8）：755-757.
|
| [15] |
游婧怡，张茂舒.健康教育路径在妊娠期糖尿病患者中的应用[J].护理实践与研究，2020，17（1）：104-106.
|
|
|
|
