摘要
目的研究妊娠糖尿病患者护理干预对血糖控制及妊娠结局的影响。方法该次研究对象为2019年4月-2020年4月期间在该院建档并定期产检的妊娠糖尿病患者74例,根据随机数表法将患者分为两组,对照组(n=35)、观察组(n=39),分别实施常规护理、基于跨理论模型的护理干预。将两组的妊娠压力评分、焦虑评分、遵医行为、血糖水平、妊娠结局进行比对。结果观察组患者干预后的妊娠压力评分和SAS评分均低于对照组,差异有统计学意义(P<0.05);观察组患者的科学饮食、合理用药、规律运动、自我血糖监测、定期复查的遵医行为优良率高于对照组,干预后的FPG、2 hPG、HbA1c水平低于对照组,差异有统计学意义(P<0.05);观察组患者羊水过多、胎膜早破、产道裂伤、早产、剖宫产、胎儿窘迫、巨大儿、产后出血的发生比例均低于对照组,差异有统计学意义(P<0.05)。结论对妊娠糖尿病患者实施基于跨理论模型的护理干预能够减轻妊娠压力以及焦虑情绪,改善遵医行为,提升血糖控制效果,有利于获得良好的妊娠结局。
Objective To study the effect of nursing intervention on blood glucose control and pregnancy outcome in patients with gestational diabetes mellitus.Methods The subjects of the study were 74 gestational diabetes patients who were filed in the hospital from April 2019 to April 2020 and had regular check-ups.The patients were divided into two groups according to the random number table method.The control group(n=35)and the observation group(n=39)implemented conventional nursing and nursing intervention based on cross-theoretical models.The pregnancy stress score,anxiety score,compliance behavior,blood glucose level,pregnancy outcome of the two groups were compared.Results The pregnancy pressure score and SAS score in observation group were lower than those in control group after intervention,the difference was statistically significant(P<0.05).The distinguished achiever ratio of scientific diet,rational drug use,regular exercise,self-blood glucose monitoring and regular review in observation group were higher than that in control group,and the levels of FPG,2 hPG and HbA1c after intervention were lower than those in control group,the difference was statistically significant(P<0.05).The incidence rates of hydramnios,premature rupture of membranes,laceration of birth canal,premature delivery,cesarean section,fetal distress,macrosomia and postpartum hemorrhage of patients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing interventions based on cross-theoretical models for patients with gestational diabetes can reduce pregnancy stress and anxiety,improve compliance with doctors,and improve blood glucose control,which is conducive to obtaining a good pregnancy outcome.
作者
李桂婷
LI Guiting(Department of Obstetrics,Quanzhou First Hospital,Quanzhou,Fujian Province,362000 China)
出处
《糖尿病新世界》
2021年第20期148-151,155,共5页
Diabetes New World Magazine
关键词
妊娠糖尿病
血糖控制
妊娠结局
Gestational diabetes mellitus
Blood glucose control
Pregnancy outcome
作者简介
李桂婷(1990-),女,本科,护师,研究方向为妊娠期糖尿病。
