GDM患者行知信行综合护理对FPG、GHb的研究被引量：2

Study on FPG and GHb of GDM Patients with Comprehensive Nursing Care

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摘要目的探讨妊娠糖尿病(GDM)患者选用知信行综合护理的价值。方法选取2019年1月—2020年5月该院收治的88例GDM患者进行研究,按1:1比例分为对照组(n=44,选用常规护理干预,由护理人员简单为其讲解疾病相关知识、预防方案,并告知其科学饮食、规律作息、适量运动对控制病情重要性,并叮嘱其定期入院随访,以便医师掌握其病情变化,并采取针对性干预方案),观察组(n=44,选用知信行综合护理,由科室主任、主管护士、责任护理等组建护理小组,负责对患者病情进行追踪、干预,并指导其养成健康的行为或生活方式),统计两组饮食行为管理、血糖控制效果、妊娠结局、自我管理效果、心理状态。结果①饮食行为管理:观察组4个方面总评分(24.52±0.61)分高于对照组,差异有统计学意义(t=47.442,P<0.05)。②血糖控制效果:观察组FPG(5.34±0.62)mmol/L、GHb(5.62±0.45)%、2 hPG(9.61±0.71)mmol/L低于对照组,差异有统计学意义(t=5.137、6.538、3.950,P<0.05)。③妊娠结局:观察组(4.55%)低于对照组(18.18%),差异有统计学意义(χ^(2)=4.062,P<0.05)。④自我管理效果:观察组血糖监测(95.45%)、药物治疗(97.73%)、适量运动(95.45%)、饮食控制(100.00%)高于对照组,差异有统计学意义(χ^(2)=6.175、4.456、6.175、4.472,P<0.05)。⑤心理状态:观察需焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。结论知信行综合护理在GDM护理中效果确切,可提高其血糖控制效果及自我管理能力,亦可改善妊娠结局,值得借鉴。 Objective To explore the value of comprehensive nursing of knowledge,attitude and practice in patients with gestational diabetes mellitus(GDM).Methods 88 patients with GDM treated in the hospital from January 2019 to May 2020 were selected for the study,and were divided into the control group in a 1:1 ratio(n=44,conventional nursing intervention was selected,the nursing staff will simply explain the disease related knowledge and prevention plan to them,and inform them of the importance of scientific diet,regular work and rest,and appropriate exercise to control the disease,and urge them to be regularly hospitalized for follow-up,so that doctors can master the changes of their disease and take targeted intervention plan),observation group(n=44,choose nobuyuki comprehensive nursing,the competent departments,the nurse,responsible care,such as a nursing team,responsible for tracking,intervention,the patient condition and direct them form healthy behavior,or way of life),statistics of two groups of eating behavior management,blood glucose control effect,and the pregnancy outcome,the effects of self management,and psychology.Results 1.Dietary behavior management:the total score of the observation group in four aspects(24.52±0.61)points were significantly higher than those in the control group,the difference was statistically significant(t=47.442,P<0.05).2.Blood glucose control effect:FPG(5.34±0.62)mmol/L,GHb(5.62±0.45)%,2 hPG(9.61±0.71)mmol/L in the observation group were significantly lower than those in the control group,the difference was statistically significant(t=5.137,6.538,3.950,P<0.05).3.Pregnancy outcome:the observation group(4.54%)was lower than the control group(18.18%),the difference was statistically significant(χ^(2)=4.062,P<0.05).4.Self management effect:the blood glucose monitoring(95.45%),drug treatment(97.73%),moderate exercise(95.45%)and diet control(100.00%)in the observation group were higher than those in the control group,the difference was statistically significant(χ^(2)=6.175,4.456,6.175,4.471,P<0.05).5.Psychological state:the scores of anxiety and depression in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion The effect of comprehensive nursing of knowledge,attitude and practice in GDM nursing is exact,which can improve the effect of blood glucose control and self-management ability,and can also improve the pregnancy outcome,which is worthy of reference.

作者黄琼琼戴聪敏 HUANG Qiongqiong;DAI Congmin(The 13th District of Obstetrics,Children's Hospital,Quanzhou Maternal and Child Health Hospital,Quanzhou,Fujian Province,362000 China)

机构地区泉州市妇幼保健院·儿童医院产科十三区

出处《糖尿病新世界》 2021年第17期113-116,156,共5页 Diabetes New World Magazine