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投稿时间：2021-05-17 网络发布日期：2022-01-20
投稿时间：2021-05-17 网络发布日期：2022-01-20
中文摘要: 目的 构建以计划行为理论（TPB）为指导的妊娠期糖尿病（GDM）生活方式干预方案，初步探索其应用效果。
方法 利用便利抽样法将2020年1月至12月在江苏省镇江市一所三甲医院就诊治疗的120例GDM患者分为对照组60例和干预组60例，分别实施常规护理和以TPB理论为指导的生活方式干预护理。比较两组患者空腹血糖（FBG）、餐后2 h血糖、心理弹性水平及自我管理能力水平。
结果 干预前两组FBG、餐后2 h血糖水平、GDM自我管理能力（SMQGDM）问卷和心理弹性（CD-RISC）量表的总分及各维度得分比较差异无统计学意义（P>0.05）。干预后，干预组空腹血糖和餐后2 h血糖降低的差值大于对照组，差异有统计学意义（P<0.01）；干预组SMQGDM问卷和CDRISC量表总分以及各维度得分均高于对照组，差异有统计学意义（P<0.05，P<0.01）。
结论 基于TPB理论的生活方式干预，有利于改善GDM患者的生理、心理及自我管理能力，促进母婴健康，降低远期并发症的发生率。
Abstract:Objective To preliminarily explore the application effect of constructing a lifestyle intervention program in gestational diabetes mellitus (GDM) patients by using the theory of planned behavior (TPB).
Methods A total of 120 GDM patients treated in a level-A tertiary hospital in Zhenjiang City, Jiangsu Province from January to December 2020 were selected and divided into control group and intervention group(n=60,each) by convenient sampling method. Routine nursing and lifestyle intervention guided by TPB theory were respectively implemented in control group and intervention group. The fasting blood glucose (FBG) and 2-hour postprandial blood glucose(2h-PBG) levels, psychological elasticity and self-management ability were compared between two groups.
Results Before intervention, there were no significant difference in FBG and 2h-PBG levels, total scores of self-management ability questionnaire for GDM patients(SMQGDM) and various aspects of psychological resilience by Connor-Davidson Resilience Scale （CD-RISC） between two groups (P>0.05). The reduced difference of FBG and 2h-PBG between post-intervention and pre-intervention was greater in intervention group than that in control group (P<0.01); and the total scores of SMQGDM and CD-RISC were statistically higher than those in control group after intervention (P<0.05, P<0.01).
Conclusion Lifestyle intervention based on TPB theory is conducive to improve the physiological, psychological and self-management ability of GDM patients, promote maternal and infant health and reduce the incidence of long-term complications.
文章编号： 中图分类号：R473.5 文献标志码：B
基金项目:江苏省卫建委预防医学课题（Y2018062）
| 作者 | 单位 |
| 韦嘉洁1,2 | 1. 江苏大学医学院，江苏 镇江 212013； 2. 江苏大学附属人民医院，江苏 镇江 212000； |
| 沈子晨1 | 1. 江苏大学医学院，江苏 镇江 212013； |
| 曹卫平3 | 3. 镇江市妇幼保健医院，江苏 镇江 212001 |
| Author Name | Affiliation |
| WEI Jia-jie* SHEN Zi-chen, CAO Wei-ping | *School of Medicine, Jiangsu University, Zhenjiang, Jiangsu 212013,China |
引用文本：
韦嘉洁,沈子晨,曹卫平.基于计划行为理论的生活方式干预在妊娠期糖尿病患者中的应用[J].中国临床研究,2022,35(1):133-137.
韦嘉洁,沈子晨,曹卫平.基于计划行为理论的生活方式干预在妊娠期糖尿病患者中的应用[J].中国临床研究,2022,35(1):133-137.