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| Effect of protective motivation theory applied in early education for improving the self-care ability, blood glucose level, and pregnancy outcomes of pregnant women with gestational diabetes mellitus |
| Hangzhou Red Cross Hospital, Hangzhou, Zhejiang Province, 31000 |
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Abstract To explore the effects of protective motivation theory applied in early education for treating pregnant women with gestational diabetes mellitus (GDM) on their self-care ability, blood glucose level, and pregnancy outcomes. Methods: 92 women with GDM were selected and were randomly divided into two groups (46 cases in each group) from October 2020 to March 2023. The women in the study group were added protective motivation theory in the education, and the women in the control group were given routine education. The indexes of cord blood flow dynamics, the levels of fasting blood glucose (FPG), 2 hours postprandial blood glucose (2hPG), and glycosylated hemoglobin (HbAlc), the pregnancy coping attitude, the self-care ability score (ESCA), and the incidence of adverse pregnancy of the women in the two groups were observed. Results: The end-systolic blood flow velocity (Vs) of the women in the study group after intervention was significantly lower than that of the women in the control group, and the end-diastolic blood flow velocity (Vd) of the women in the study group after intervention was significantly higher than that of the women in the control group. The levels of FPG, 2hPG, and HbAlc of the women in the study group were significantly lower than those of the women in the control group (all P<0.05). The positive coping score (29.06±5.33 points) of the women in the study group was significantly higher than that (26.93±4.68 points) of the women in the control group, the negative coping score (8.39±1.26 points) of the women in the study group was significantly lower than that (10.52±1.18 points) of the women in the control group, and the ESCA score of the women in the study group was significantly higher than that of the women in the control group. The overall complication rate (8.7%) of the women in the study group was significantly lower than that (34.8%) of the women in the control group (P<0.05). Conclusion: Protective motivation theory applied in early education for treating pregnant women with GDM can enhance their self-care ability, promote the women positive coping their pregnancy, effectively improve the cord blood flow dynamics index and blood glucose level of the women with GDM, and can reduce their incidence of adverse pregnancy, with good clinical application effect.
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