| 摘要: |
| 目的：研究基于保护动机理论的中医辨体施护对妊娠糖尿病患者的护理效果。方法：将96 例妊娠糖尿病患者按随机数字表法分为观察组和对照组各48 例，对照组给予常规护理，观察组在对照组基础上行基于保护动机理论的中医辨体施护。比较2 组患者自我护理能力、自我效能及血糖水平。结果：干预前，2 组自我护理能力各维度得分和总分比较，差异无统计学意义（P＞0.05）。干预后，2 组自我护理能力各维度得分和总分较干预前升高，且观察组自我护理能力各维度得分和总分均高于对照组（P＜0.05）。干预前，2 组自我效能评分比较，差异无统计学意义（P＞0.05）。干预后，2 组自我效能评分较干预前升高，且观察组自我效能评分高于对照组（P＜0.05）。干预前，2 组空腹血糖、餐后2 h 血糖水平比较，差异无统计学意义（P＞0.05）。干预后，2 组空腹血糖、餐后2 h 血糖水平较干预前改善，且观察组空腹血糖、餐后2 h 血糖水平优于对照组（P＜0.05）。结论：基于保护动机理论的中医辨体施护可以有效控制患者血糖水平，提高患者自我护理能力和自我效能水平。 |
| 关键词: 妊娠糖尿病 保护动机理论 辨体施护 自我护理能力 自我效能 血糖 |
| DOI： |
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| 基金项目:深圳市科技计划项目（JCYJ20160425152019671） |
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| Application of Nursing Based on Constitution Differentiation of Chinese Medicine toGestational Diabetes Mellitus Based on Protection Motivation Theory |
| CHEN Yun,ZHONG Yinqin,YE Meixia,ZHANG Yanmei,LIN Jin |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract：Objective：To study the effect of nursing based on constitution differentiation of Chinese medicine on patients
with gestational diabetes mellitus on the basis of protection motivation theory. Methods：A total of 96 cases of patients with
gestational diabetes mellitus were divided into the observation group and the control group according to random number
table，48 cases in each group. The control group was given routine nursing；based on the nursing of the control group，the
observation group was additionally given nursing based on constitution differentiation of Chinese medicine on the basis of
protection motivation theory. The ability of self- nursing， self- efficacy， and the level of blood glucose were compared
between the two groups. Results：Before intervention，when compared the scores of self-nursing ability in each dimension
and the total scores between the two groups，there was no significance in the difference(P＞0.05). After intervention，the
scores of self-nursing ability in each dimension and the total scores in the two groups were increased when compared with
those before intervention，and each score and the total score in the observation group were higher than those in the control
group(P＜0.05). Before intervention， when compared the score of self- efficacy between the two groups， there was no
significance in the difference(P＞0.05). After intervention，the score of self-efficacy in the two groups were increased when
compared with those before intervention，and the score in the observation group was higher than that in the control group
(P＜0.05). Before intervention， when compared the levels of fasting blood glucose and postprandial 2 h blood glucose
between the two groups，there was no significance in the difference(P＞0.05). After intervention，the levels of fasting blood
glucose and postprandial 2h blood glucose in the two groups were improved when compared with those before intervention，
and the levels in the observation group were better than those in the control group(P＜0.05). Conclusion： On the basis of
protection motivation theory，the nursing based on constitution differentiation of Chinese medicine can effectively control the
level of blood glucose of patients，improve their self-nursing ability and the level of self-efficacy. |
| Key words: Keywords：Gestational diabetes mellitus Protection motivation theory Nursing based on constitution differentiation Self-nursing ability Self-efficacy Blood glucose |
