Application Study Of Protection Motivation Theory Guided Health Education On Self-care Agency In Patients With Gestational Diabetes Mellitus

Objective:(1)To investigate the level and influencing factors of self-care agency in patients with gestational diabetes mellitus.(2)To explore the effect of protection motivation theory guided health education on self- care agency in patients with gestational diabetes mellitus.(3)To evaluate the effect of protection motivation theory guided health education for the patients with gestational diabetes mellitus on self-efficacy and blood glucose.Methods:The first stage is a descriptive study.adopt the method of convenience sampling,according to inclusion and excluding criteria,the self-care agency status of 216 patients with gestational diabetes mellitus in two three-A level hospitals in Hefei from October 2014 to April 2015 were investigated,and analysis the influencing factors of self-care agency.The second stage is a quasi-experimental study: patients who were diagnosed as gestational diabetes mellitus in a three-A level hospital in Hefei from April 2015 to July 2015 as the object of study,Those patients were divided into the intervention group and the control group by diagnosed time.Control group(n=46)received the maternity clinic routine health education,Intervention group(n=44) received intervention based on protection motivation theory, Before and after 12 weeks intervention,The patients, self-care agency, self-efficacy,blood glucose were compared to analysis the effect of protection motivation theory guided intervention.Results:First stage:(1)The total score of self-care agency among patients with gestational diabetes mellitus was(98.93±17.77).17.59% at high level,81.48% at middle level, 0.93% at low level.Each dimension scores of self-care agency is differ:the score of selfcare responsibility dimension is higher,The high level score of health knowledge level dimension is lowest.(2)One-way analysis of variance showed that the self-care agency of patients with gestational diabetes mellitus with different education level, working status,the type of medical insurance,income,delivery times and attend the classes of pregnancy school or not is significant difference(P<0.05).(3)The multiple stepwise regression analysis indicated that the influencing factors of the total ESCA score were the education level,the type of medical insurance and whether attend the classes of pregnancy school or not;Second stage:(1)After intervention the scores of self-care agency in the intervention group were significantly higher than those in control group(P<0.05).(2)The level of self-efficacy and blood glucose in the intervention group were significantly improved after the intervention and higher than control group(P<0.05).Conclusions:(1)The self-care agency among patients with gestational diabetes mellitus at the medium level,The main influencing factors of self-care agency is following by education level,type of medical insurance and attend the classes of pregnancy school or not.medical staff provide intervention should be based on differences of individual patients, and encourage patients to attend the classes of pregnancy school,to improve their self-care agency and health of both mother and infant.(2)Health education based on protection motivation theory can improve self-care agency,self-efficacy of patients with gestational diabetes mellitus,and help patients control the blood glucose.