摘要
目的:探讨系统化健康教育联合个体化营养管理对妊娠期糖尿病(GDM)患者胰岛素注射依从性的影响。方法:选择2020年9月—2022年10月平顶山市第一人民医院收治的112例GDM患者作为研究对象,使用随机数字表将其分为研究组和对照组,每组56例。两组均接受GDM的一般常规治疗,给予对照组常规健康教育联合个体化营养管理,研究组采取系统化健康教育联合个体化营养管理,比较两组血糖控制情况、胰岛素注射依从性,并随防至妊娠,比较两组妊娠期并发症情况。结果:两组干预后血糖控制情况明显改善,且研究组FPG、2hPBG均低于对照组(P<0.05);研究组胰岛素注射依从率高于对照组(P<0.05);研究组妊娠期并发症发生率小于对照组(P<0.05)。结论:系统化健康教育联合个体化营养管理能改善妊娠期糖尿病患者血糖指标,对提高患者胰岛素注射依从性以及减少妊娠期并发症均有积极的作用。
Objective:To explore the effect of systematic health education combined with individualized nutrition management on insulin injection compliance in patients with gestational diabetes mellitus(GDM).Methods:A total of 112 GDM patients admitted to the Pingdingshan First People's Hospital from September 2020 to October 2022 were selected as the research objects,and they were divided into study group and control group by random number table,with 56 patients in each group.Both groups received general routine treatment of GDM.The control group was given routine health education combined with individualized nutrition management,while the study group was given systematic health education combined with individualized nutrition management.The blood glucose control and insulin injection compliance of the two groups were compared,and the pregnancy complications of the two groups were compared.Results:The blood glucose control of the two groups was significantly improved after intervention,and the FPG and 2 hPBG in the study group were lower than those in the control group(P<0.05).The compliance rate of insulin injection in the study group was higher than that in the control group(P<0.05).The incidence of pregnancy complications in the study group was lower than that in the control group(P<0.05).Conclusion:Systematic health education combined with individualized nutrition management can improve the blood glucose index of patients with gestational diabetes,and has a positive effect on improving the compliance of insulin injection and reducing the complications of pregnancy.
作者
王自苗
黄丽君
赵亚辉
李代红
WANG Zimiao;HUANG Lijun;ZHAO Yahui;LI Daihong(Special Obstetrics Ward One of Pingdingshan First People's Hospital,Pingdingshan 467000,Henan,China)
出处
《中国药物滥用防治杂志》
CAS
2024年第7期1362-1365,共4页
Chinese Journal of Drug Abuse Prevention and Treatment
基金
河南省医学科技攻关计划联合共建项目(编号:LHGJ20200911)。
关键词
系统化健康教育
个体化营养管理
妊娠期糖尿病
胰岛素
依从性
Systematic health education
Individualized nutrition management
Gestational diabetes mellitus
Insulin
Compliance
作者简介
王自苗(1987.03-),女,汉族,河南平顶山人,本科,主管护师,主要研究方向:产科护理;通信作者:李代红(1978.01-),女,汉族,硕士,河南宝丰人,主任医师,主要研究方向:妇产科临床。
