目的 探讨知信行护理宣教对妊娠期糖尿病孕妇妊娠结局的影响?方法 选择2017年6月至2018年1月132例妊娠期糖尿病孕妇作为研究对象，随机分为两组各66例，对照组孕妇仅予常规妊娠期宣教，研究组予以知信行护理宣教?比较两组孕妇干预前及临产前的空腹血糖水平?使用胰岛素治疗的情况及母婴结局?结果 研究组干预后孕妇的空腹血糖为(5.69±0.83)mmol/L，胰岛素治疗7 例(10.61%)，对照组分别为(6.84±0.71)mmol/L，15 例(22.73%)，研究组孕妇的空腹血糖控制情况明显优于对照组，“,”Objective To explore the effect of knowledge， practice and nursing education on pregnancy outcome of pregnant women with gestational diabetes mellitus. Methods One hundred and thirty two pregnant women with gestational diabetes from June 2017 to January 2018 were selected as the study subjects and randomly divided into two groups with 66 cases each. Pregnant women in the control group were only given routine pregnancy education， while those in the study group were given knowledge， practice and nursing education. The levels of fasting blood glucose， insulin use and maternal and infant outcomes before intervention and labor were compared between the two groups. Results After intervention，fasting blood glucose of pregnant women in the study group was (5.69±0.83) mmol/L ， 7 cases (10.61%) were treated with insulin， and 15 cases (22.73%) were treated with insulin， respectively. Fasting blood glucose of pregnant women in the study group was signi?cantly better than that in the control group， with statistical signi?cance (P<0.05). In the study group， the cesarean section rate was 46.97%， the rate of polyhydramnios was 6.06%， the rate of premature rupture of membranes was 13.64%， the rate of fetal intrauterine growth restriction was 4.55%， and the rate of preterm delivery was 10.61%. The incidence was 3.03%， and the incidence of neonatal asphyxia was 1.52%. The control group was 68.18%， 16.67%， 22.73%， 16.67%， 24.24%， 9.09%， 10.61%， and the comparison was statistically signi?cant (P<0.05). Conclusion Carrying out the education of knowledge， practice and nursing education for pregnant women with gestational diabetes can effectively improve the education effect and pregnancy outcome.