电话随访对妊娠期糖尿病孕妇遵医行为及妊娠结局的影响  

Telephone follow-up of gestational diabetes women according to the medical behavior and the influence of the pregnancy outcome

作　　者：陈玲芳[1] 张锐[1] 任利容[1] 刘云[1] 

机构地区：[1]深圳市宝安区妇幼保健院,深圳518133

出　　处：《临床护理杂志》2015年第2期21-23,共3页Journal of Clinical Nursing

基　　金：深圳市宝安区卫生公益性科研项目(2013080)

摘　　要：目的探讨电话随访对妊娠期糖尿病（GDM）孕妇遵医行为及妊娠结局的影响。方法选择2013年10月~2014年10月在我院就诊的100例GDM孕妇,随机分为研究组和对照组,各50例。对照组采用常规护理。研究组在常规护理的基础上采用电话随访指导。比较两组遵医行为及各项临床参数和妊娠并发症。结果研究组遵医行为明显优于对照组;增重、空腹血糖、餐后2h血糖、糖化血红蛋白均控制在正常范围;妊娠期高血压、早产、巨大儿、羊水过多等妊娠并发症发生率均低于对照组,两组比较有显著性差异（P〈0.05）。结论电话随访能帮助GDM孕妇提高遵医行为,较好地控制血糖,从而有效降低GDM孕妇并发症的发生。Objective The aim of the present study is to investigate the telephone follow‐up effect on gestational diabetes patients＆#39;（gestational diabetes mellitus ,GDM ） compliance behavior and their pregnancy outcomes .Methods 100 GDM pa‐tients in the outpatient department from October 2013 to October 2014 were randomly assigned to the intervention group and the control group with 50 cases in each group .The control group was followed with usual care while the intervention group by telephone .The compliance behavior of the two groups＆#39;patients and their clinical parameters and pregnancy complications were recorded and compared .Results Patients in the intervention group had better compliance .The weight gain and the value of fasting blood glucose ,2h postprandial blood glucose and glycated hemoglobin were within the normal range and sig‐nificantly lower than the control group .In addition ,the risk of gestational hypertension ,premature delivery ,macrosomia , polyhydramnios and other pregnancy complications was lower than the control group .The differences were statistically sig‐nificant （P〈0 .05） .Conclusion The telephone follow‐up approach could help improve compliance behavior of GDM women and make them in better control of blood sugar ,thus leading to a reduction of the incidence of complications .

关 键 词：妊娠糖尿病 电话随访 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学] R714.3[医药卫生—临床医学]