Chinese Journal of Nursing ›› 2021, Vol. 56 ›› Issue (9): 1312-1317.DOI: 10.3761/j.issn.0254-1769.2021.09.005

• Special Planning--Perinatal Nursing • Previous Articles     Next Articles

The decision-making behavior and influencing factors of blood glucose management in pregnant women with gestational diabetes mellitus

HUANG Na,ZHOU Yingfeng,LI Li,LIU Qiaoyan,ZHU Jialei,WANG Ling,PAN Xiuhong,GUO Nafei   

  • Received:2020-10-14 Online:2021-09-15 Published:2021-09-17

妊娠期糖尿病孕妇血糖管理决策行为及影响因素的研究

黄娜,周英凤,李丽,刘巧艳,朱佳蕾,汪玲,潘秀红,郭娜菲   

  1. 200032 上海市 复旦大学护理学院(黄娜,周英凤);复旦大学附属妇产科医院产科(李丽);江苏大学附属医院内分泌代谢科(刘巧艳);上海市嘉定区妇幼保健院产科(朱佳蕾);上海市浦东新区妇幼保健院产科(汪玲);复旦大学附属浦东医院护理部(潘秀红);上海市第一妇婴保健院护理部(郭娜菲)
  • 作者简介:黄娜:女,本科(硕士在读),E-mail: <email>18211170004@fudan.edu.cn</email>
  • 基金资助:
    国家自然科学基金面上项目(71874035)

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

摘要:

目的 了解妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇血糖管理决策行为现况并探讨其影响因素。 方法 采用便利抽样法,于2019年9月—2020年7月采用一般资料调查表、GDM血糖管理保护动机问卷、GDM血糖管理知识问卷和GDM血糖管理决策行为问卷对上海市和江苏省6所医院的1 127例GDM孕妇进行调查。 结果 GDM孕妇的血糖管理决策行为问卷得分为 (69.30±6.85)分,处于高水平。多元线性回归分析结果表明,孕周、严重性、易感性、反应效能、自我效能、反应代价是GDM孕妇血糖管理决策行为的影响因素(P<0.05)。 结论 临床护理人员应增强GDM孕妇血糖管理的保护动机,尤其是处于孕晚期的孕妇,通过提高GDM孕妇对疾病严重性及血糖管理不良行为易感性的认知,并激励孕妇在血糖管理过程中的反应效能和自我效能,减少血糖管理中可能的障碍因素,以改善孕妇血糖管理决策行为。

关键词: 妊娠期糖尿病, 保护动机, 血糖管理, 决策行为, 影响因素, 护理