PBL式健康教育与早期护理干预对妊娠期糖尿病患者治疗依从性及妊娠结局的影响  

The Effect on Treatment Adherence and Pregnancy Outcomes of PBL Health Education and Early Nursing Intervention for Patients with Gestational Diabetes

作　　者：孙珊珊[1] 罗辉兰[1] 

机构地区：[1]广东省深圳市妇幼保健院,广东深圳518028

出　　处：《中国医学创新》2016年第7期73-76,共4页Medical Innovation of China

基　　金：深圳市知识创新计划(JCYJ20140414145936160)

摘　　要：目的:探讨PBL式健康教育与早期护理干预对妊娠期糖尿病患者治疗依从性及妊娠结局的影响。方法:选取2014年1月-2015年1月本院收治的产检与分娩的妊娠期糖尿病患者118例,采用随机数字表法将患者分为观察组与对照组,对照组58例采用常规护理,观察组60例在对照组患者的基础上采用PBL式健康教育与早期护理干预。比较两组患者治疗依从性、血糖水平与妊娠结局的差异。结果:观察组心理调控、遵医嘱用药、规律运动、血糖监测、合理饮食与定期产检等方面的治疗依从性评分均明显高于对照组,两组比较差异具有统计学意义(P<0.05);护理前,两组患者FBG、2 h PBG水平比较差异无统计学意义(P>0.05),护理后,全部患者FBG、2 h PBG水平均明显低于护理前,护理前后比较差异具有统计学意义(P<0.05),其中观察组FBG、2 h PBG水平明显低于对照组,两组比较差异具有统计学意义(P<0.05);观察组早产、巨大儿、羊水过多、妊娠期高血压发生率明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论:PBL式健康教育与早期护理干预有助于改善妊娠期糖尿病患者治疗依从性,控制理想血糖水平,从而改善妊娠结局,值得临床推广应用。Objective：To study the effect on treatment adherence and pregnancy outcomes of PBL health education and early nursing intervention for patients with gestational diabetes.Method：118 patients with gestational diabetes from January 2014 to January 2015 were selected during our production inspection and delivery,all patients were divided into the observation group and the control group by the random number table method,58 cases of the control group were given the conventional nursing,60 cases of the observation group were given PBL health education and early nursing intervention on the basis of the control group.The differences of treatment compliance,blood-glucose and pregnancy outcomes between the two groups were compared.Result：The treatment adherence scores in psychological regulation,prescribed medication,regular exercise,bloodglucose monitoring,reasonable diet and regular prenatal of the observation group were significantly higher than those of the control group,the differences were statistically significant（P〈0.05）.Before nursing,the differences in FBG and 2 h PBG levels between the two groups were not statistically significant（P〈0.05）,after nursing,the FBG and 2 h PBG levels of all patients were significantly lower than pre-nursing,the comparative differences between pre-nursing and post-nursing had statistical significance（P〈0.05）,the FBG and 2 h PBG levels of the observation group were obviously lower than those of the control group,the differences were statistically significant（P〈0.05）.The macrosomia,hydramnios,premature pregnancy,hypertension incidence rates of the observation group were significantly lower than those of the control group,the differences were statistically significant（P〈0.05）.Conclusion：PBL health education and early nursing intervention can help improve treatment adherence and control ideal blood-glucose levels for patients with gestational diabetes,and then improve pregnancy outcomes,it is worthy of clinical popularization and application.

关 键 词：PBL式健康教育 护理干预 妊娠期糖尿病 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]