饮食行为计划的能力-机会-激励行为 (COM-B) 模式对泰国妊娠期体重增加的影响:一项随机对照试验
Pantipa Buakhai1, Piyanut Xuto2, Pimpaporn Klunklin3
1Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Belitung nursing journal
|January 26, 2026
概括
过度的妊娠体重增加与不利的孕产妇和胎儿健康有关. 使用COM-B模型的饮食行为计划有效地减少了孕妇的妊娠体重增加.
科学领域:
- 孕产妇健康 孕产妇健康
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 过度的妊娠体重增加 (GWG) 对母亲和胎儿的健康都有风险.
- 饮食行为修改是管理GWG和预防不良妊娠结果的关键策略.
研究的目的:
- 评估基于能力-机会-动机行为 (COM-B) 模型的饮食行为计划对妊娠期体重增加的影响.
- 确定COM-B模型在孕妇中控制GWG的有效性.
主要方法:
- 在泰国,一项单盲随机对照试验对96名孕妇进行.
- 参与者被分配到14个会议的COM-B饮食计划 (实验组) 或通常的护理 (对照组).
- 使用医学研究所 (IOM) 建议评估妊娠期体重增加,并使用SPSS分析数据.
主要成果:
- 与对照组相比,COM-B计划显著降低了妊娠期体重增加,即使在调整了社会人口统计因素之后.
- 经过调整后的分析显示,GWG的平均差异为-2.227公斤 (ITT) 和-2.648公斤 (每个协议).
- 该COM-B模型在限制GWG方面表现出有效性,独立于参与者特征.
结论:
- 基于COM-B模型的饮食计划实现了临床相关的减轻妊娠期体重增加.
- 建议在产前护理中以护士为主导实施该计划,强调需要专门培训.
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