| Objective:To investigate self-management knowledge,attitude and behavior(KAB)of pregnancy with diabetes mellitus in Guangdong province and analyze the factors,providing references for the health education of the prevention and treatment of pregnancy with diabetes mellitus.Methods:1.Referenced Study on developing a Brief Version of Diabetes Self-management Knowledge,Attitude,and Behavior Assessment Scale(DSKAB-SF),the questionnaire designsd was suitable for the pregnancy with diabetes.Patients came from maternal and child health hospitals and general hospitals of Guangdong province from 1st October 2017 to 31 st January 2018 were investigated through online questionnaire.2.All participant's clinical data of general information,knowledge and the willingness to learn were collected by the unified questionnaire.3.A case-control study was conducted to analyze the factors of the self-management of pregnancy with diabetes.Results:1.A total of 544 questionnaires were collected,there were 420 valid questionnaires and the valid returned rate was 77.21%.The valid returned rate of maternal and child health hospitals was 75.00%(159/212),and general hospitals was 78.61%(261/332).There were 392 GDM and 28 PGDM,the total qualification rate of the knowledge scale was 71.19%,the total qualification rate of the attitude scale was 99.29%,and the total qualification rate of the behavior scale was 79.52%.2.For the qualification rate of the knowledge scale,there was no significant difference between the older pregnancy group and the normal age pregnancy group(73.88%vs69.93%,P=0.694);the high school degree were significantly lower than the bachelor degree(50.35%vs83.08%,P=0.000,OR=0.207,95%CI:0.130-0.328);the family income no more than 5000 yuan,5000 to 10000 yuan,and more than 5000 yuan groups were difference(55.49%vs79.43%vs83.48%,P=0.000),which high income's qualification rate was higher;there were no significant difference between PGDM and GDM(1.43%vs71.17%,P=0.977),but the pregnant women with insulin therapy group's qualification rate was higher than that no insulin therapy group(80.22%vs68.69%,P=0.032,OR=1.848,95%CI:1.049-3.255);the pregnant women without regular antenatal care were significantly lower than the pregnant women with regular antenatal care(39.13%vs73.10%,P=0.000,OR=0.237,95%CI:0.099-0.563);the regular study group was significantly higher than the occasional study and unstudied group(86.56%vs66.49%vs30.61%,P=0.000).3.For the qualification rate of the behavior knowledge scale,the older pregnancy group was higher than the normal age pregnancy group on attitude scale(88.81%vs75.17,P=0.001,OR=2.620,95%CI:1.437-4.775);the high school degree were significantly lower than the bachelor degree(69.93%vs83.85%,P=0.001,OR=0.448,95%CI:0.275-0.729);the family income no more than 5000 yuan and 5000 to 10000 yuan groups' qualification rate were significantly both lower than that more than 10000 yuan group(73.17%vs76.60%vs92.17%,p=0.000);there were no significant difference between PGDM and GDM(89.29%vs78.83%,P=0.185),but the pregnant women with insulin therapy group's qualification rate was higher than that no insulin therapy group(94.51%vs75.38%,P=0.000,OR=5.618,95%CI:2.204-14.322);the pregnant women without regular antenatal care were significantly lower than the pregnant women with regular antenatal care(30.43%vs82.99%,P=0.000,OR=0.090,95%CI:0.036-0.226);the regular study group was significantly higher than the occasional study and unstudied group(97.85%vs69.73%vs46.94%,P=0.000).4.Pregnant women gained the knowledge of gestational diabetes mellitus mainly through medical staff(89.76%),internet(71.90%),books,brochures,newspapers or other print medium(61.67%),classroom teaching(33.33%),television(24.29%),and 80.95% pregnant women gained the knowledge through two or more ways.Most of the pregnant women were willing to acquire the knowledge about the gestational diabetes,accounting for 97.86%.Conclusions:1.Most of the pregnant women with diabetes mellitus had a positive attitude toward the prevention and treatment of gestational diabetes.2.The qualification rate of pregnancy with diabetes mellitus knowledge scale was associated with education background and family income.Highly educated and high income could promote the knowledge of gestational diabetes.And the behavior scale was associated with age,education background,family income,older pregnancy.Highly educated,high income and older pregnancy could promote the prevention and treatment of gestational diabetes mellitus.3.Pregnancy witch diabetes mellitus knowledge scale and behavior scale's qualification rate were associated with regular antenatal care,regular antenatal care could promote knowledge and behavior.On the other hand,the pregnant women with insulin therapy were higher than the pregnant women without insulin therapy.However,it was no significant difference between GDM and PGDM.4.Pregnancy witch diabetes mellitus knowledge scale and behavior scale's qualification rate were associated with study,regular study could promote knowledge and behavior.5.Health education on the internet may become the main way for pregnant women to acquire the knowledge about pregnancy witch diabetes. |
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