Mendelson Sherri Garber, McNeese-Smith Donna, Koniak-Griffin Deborah, Nyamathi Adeline, Lu Michael C
Providence Holy Cross Medical Center, Mission Hills, CA 91335, USA.
J Obstet Gynecol Neonatal Nurs. 2008 Jul-Aug;37(4):415-25. doi: 10.1111/j.1552-6909.2008.00262.x.
To examine the effects of a Parish Nurse Intervention Program (PNIP) on maternal health behaviors, glycemic control, and neonatal outcomes among Mexican American women with gestational diabetes.
A randomized controlled trial comparing care as usual (CAU) with a supplementary 1-hour education session for diabetes education reinforcement by a Parish Nurse.
An outpatient treatment clinic for gestational diabetes within a 250-bed tertiary care, non-profit hospital with a Parish Nurse partnership.
One hundred Mexican American women were included in the study with randomization into Parish Nurse Intervention Program (n=49) and care as usual (n=51) groups.
The Health Promoting Lifestyle Profile II (HPLP II) and two measures of glycemic control pre- and post-intervention, as well as newborn size, and days of maternal and neonatal hospitalization.
Outcomes indicate significantly improved Health Promoting Lifestyle Profile II scores in the Parish Nurse Intervention Program group post-intervention compared with the Care As Usual group. No significant differences between groups regarding glycemic control, macrosomia, or days of maternal or neonatal hospitalization were found.
A Parish Nurse Intervention Program for pregnant women of Mexican descent with gestational diabetes is effective in leading to improved self-reported health promoting behaviors.
探讨教区护士干预项目（PNIP）对患有妊娠期糖尿病的墨西哥裔美国女性的孕产妇健康行为、血糖控制及新生儿结局的影响。
一项随机对照试验，将常规护理（CAU）与由教区护士进行的为期1小时的补充糖尿病教育强化课程进行比较。
一家拥有250张床位的三级护理非营利性医院内的妊娠期糖尿病门诊治疗诊所，该医院与教区护士建立了合作关系。
100名墨西哥裔美国女性被纳入研究，随机分为教区护士干预项目组（n = 49）和常规护理组（n = 51）。
健康促进生活方式量表II（HPLP II）以及干预前后的两项血糖控制指标，还有新生儿大小、产妇和新生儿住院天数。
结果表明，与常规护理组相比，教区护士干预项目组干预后的健康促进生活方式量表II得分显著提高。在血糖控制、巨大儿或产妇及新生儿住院天数方面，两组之间未发现显著差异。
针对患有妊娠期糖尿病的墨西哥裔孕妇的教区护士干预项目能有效改善自我报告的健康促进行为。
