知信行模式对妊娠期糖尿病一日门诊患者的随访管理

Follow-Up Management of Knowledge-Attitude-Practice Model for One-Day Outpatients with Gestational Diabetes Mellitus

摘要: 目的：评价知信行模式对妊娠期糖尿病一日门诊患者的随访管理效果。方法：将200例妊娠期糖尿病患者按住院时间分为对照组和观察组。对照组采用由门诊护士为主导开展的妊娠期糖尿病一日门诊健康教育传统方案，观察组由妊娠期糖尿病专科护士主导按照知信行模式开展糖尿病一日门诊健康教育进行孕期全程随访管理。干预6周后比较两组血糖指标、糖尿病知识水平、自我管理效能。结果：干预后观察组血糖达标率显著优于对照组(P < 0.05)；观察组血糖监测次数显著优于对照组，差异有统计学意义(P < 0.05)。结论：妊娠期糖尿病专科护士运用知信行模式对糖尿病一日门诊尿病患者孕期全程随访管理在控制孕期血糖方面显著有效，能提高患者自我管理能力。

Abstract: Objective: To evaluate the effect of knowledge-attitude-practice model on the follow-up management of one-day outpatients with gestational diabetes mellitus (GDM). Methods: 200 patients with gestational diabetes mellitus were divided into control group and observation group according to hospitalization practice. The control group adopted the traditional scheme of one-day outpatient health education for gestational diabetes mellitus led by outpatient nurses, while the observation group was led by gestational diabetes specialist nurses to carry out diabetes one-day outpatient health education according to the mode of knowledge-attitude-practice for the whole pregnancy follow-up management. After 6 weeks of intervention, the blood glucose index, diabetes knowledge level and self-management efficacy were compared between the two groups. Results: After intervention, the rate of reaching the standard of blood glucose in the observation group was significantly better than that in the control group (P < 0.05), and the number of blood glucose monitoring in the observation group was significantly better than that in the control group (P < 0.05). Conclusion: The application of knowledge-attitude-practice model by specialist nurses with gestational diabetes mellitus is significantly effective in controlling blood sugar during pregnancy and can improve the self-management ability of diabetic one-day outpatients with urinary disease during pregnancy.