Effects assessment of gestational diabetes mellitus club health education model based on theory of planned behavior

Abstract

Objective To explore the effects of gestational diabetes mellitus (GDM) club health model based on theory of planned behavior (TPB). Methods By convenient sampling method, we selected 60 patients who were diagnosed as GDM when they had prenatal examination during gestational 22 weeks to 28 weeks as research sampling from August to December in 2013. According to touch ball method of simple random sampling method, 30 GDM patients with single number took part in GDM club as experimental group while another 30 GDM patients with double number involved routine health education as control group. The fasting blood glucose (FBG), 2 h postprandial blood glucose (2 h PBG), diabetes mellitus knowledge scale and self-efficacy had been observed and compared before and after intervention. Results After the intervention, the FBG and 2 h PBG were (4.99±0.31), (7.89±0.93) mmol/L in the experimental group, which were better than those of the control group (t=-2.11, -2.08, respectively; P<0.05). The total score of diabetes mellitus knowledge scale was (25.70±2.72) in the experimental group, which was higher than that of the control group (t=4.18, P<0.01); the gravida of the experimental group had more confidence at diet management, excise management, blood glucose control than the control group (P<0.05). Conclusions GDM club health education based on TPB can provide a feasible and theoretical health education method (club type) for GDM, and it is worthy of clinical promotion. Key words: Diabetes mellitus, encyesis; Health education; Theory of planned behavior