摘要：

目的 了解妊娠期糖尿?。╣estational diabetes mellitus,GDM）孕婦血糖管理決策行為現況并探討其影響因素。 方法 采用便利抽樣法,于2019年9月—2020年7月采用一般資料調查表、GDM血糖管理保護動機問卷、GDM血糖管理知識問卷和GDM血糖管理決策行為問卷對上海市和江蘇省6所醫(yī)院的1 127例GDM孕婦進行調查。 結果 GDM孕婦的血糖管理決策行為問卷得分為 （69.30±6.85）分,處于高水平。多元線性回歸分析結果表明,孕周、嚴重性、易感性、反應效能、自我效能、反應代價是GDM孕婦血糖管理決策行為的影響因素（P<0.05）。 結論 臨床護理人員應增強GDM孕婦血糖管理的保護動機,尤其是處于孕晚期的孕婦,通過提高GDM孕婦對疾病嚴重性及血糖管理不良行為易感性的認知,并激勵孕婦在血糖管理過程中的反應效能和自我效能,減少血糖管理中可能的障礙因素,以改善孕婦血糖管理決策行為。

關鍵詞: 妊娠期糖尿病, 保護動機, 血糖管理, 決策行為, 影響因素, 護理

Abstract:

Objective To describe the status of blood glucose management decision-making behavior of pregnant women with gestational diabetes mellitus（GDM）and to explore its influencing factors. Methods A total of 1 127 pregnant women with GDM from 6 hospitals in Shanghai and Jiangsu province were investigated with the blood glucose management protection motivation questionnaire,knowledge questionnaire,decision-making behavior questionnaire and general information questionnaire. Results The score of decision-making behavior in blood glucose management of pregnant women with GDM was 69.30±6.85,which is at a high level. Gestational age,vulnerability,severity,response efficacy,self-efficacy and response costs were influencing factors of blood glucose management decision-making behavior in pregnant women with GDM（P<0.05）. Conclusion Nursing professionals should strengthen GDM pregnant women’s protection motivation of blood glucose management,especially for women who during the third trimester. This study suggested that GDM women’s decision-making behavior of blood glucose management could be improved through increasing patient’s cognition of disease severity and vulnerability,enhancing response efficacy and self-efficacy,and reducing response costs.

Key words: Gestational Diabetes Mellitus, Protection Motivation, Blood Glucose Management, Decision-Making Behavior, Influencing Factors, Nursing Care

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網址: 妊娠期糖尿病孕婦血糖管理決策行為及影響因素的研究 http://www.u1s5d6.cn/newsview81496.html