基于智谋理论的护理干预在妊娠期糖尿病患者中的应用  

Application of nursing intervention based on resourcefulness theory in patients with gestational diabetes mellitus

作　　者：史淑敏 万丽[1] SHI Shumin;WAN Li(Department of Obstetrics,Nanjing Hospital Affiliated to Nanjing Medical UniversityNanjing First Hospital,Jiangsu Province,Nanjing210006,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院产科,江苏南京210006

出　　处：《中国医药导报》2021年第30期188-192,共5页China Medical Herald

摘　　要：目的探讨基于智谋理论的护理干预在妊娠期糖尿病(GDM)患者中的应用效果。方法前瞻性选取2019年1月至2020年1月南京市第一医院收治的100例GDM患者,采用随机数字表法分为对照组和观察组,每组各50例。对照组采用常规护理干预,观察组采用常规护理联合基于智谋理论的护理干预,均干预至分娩时。于干预前及分娩时检测并比较两组空腹血糖、餐后2 h血糖水平;采用疾病感知问卷(IPQ-R)和智谋量表(RS)评估两组疾病感知和智谋评分;比较两组干预期间妊娠结局情况。结果干预前,两组空腹血糖、餐后2 h血糖水平比较,差异无统计学意义(P> 0.05);分娩时,两组空腹血糖、餐后2 h血糖水平较干预前降低,且观察组低于对照组,差异有统计学意义(P <0.05);干预前,两组IPQ-R和RS评分比较,差异无统计学意义(P> 0.05);分娩时,两组IPQ-R和RS评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P <0.05);两组早产、胎膜早破、宫内窘迫及巨大儿等不良妊娠结局发生率比较,差异无统计学意义(P> 0.05)。结论基于智谋理论的护理干预在GDM患者中的应用效果较好,更利于稳定GDM患者的血糖,提高患者的疾病感知和智谋情况。Objective To explore the application effect of nursing intervention based on resourcefulness theory in patients with gestational diabetes mellitus(GDM).Methods A total of 100 patients with GDM admitted to Nanjing First Hospital from January 2019 to January 2020 were prospectively selected,the patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given routine nursing combined with nursing intervention based on resourcefulness theory,they were all intervened until delivery.Fasting blood glucose,2 h postprandial blood glucose between the two groups were detected and compared before intervention and during delivery;revised illness perception questionnaire(IPQ-R) and resourcefulness scale(RS) were used to evaluate and compare the disease perception and resourcefulness scores of the two groups;the pregnancy outcomes of the two groups during intervention were recorded and compared.Results Before intervention,there was no statistical significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups(P > 0.05);during delivery,the levels of fasting blood glucose,2 h postprandial blood glucose in both groups were decreased than before intervention,and the observation group was lower in comparison with the control group,and the differences were statistically significant(P < 0.05);before intervention,there was no statistical significant difference in IPQ-R and RS scores between the two groups(P > 0.05);at delivery,IPQ-R and RS scores of both groups were increased than before intervention,and the observation group was higher in comparison with the control group,and the differences were statistically significant(P < 0.05);there were no statistical significant differences in the incidence of premature birth,premature rupture of membranes,intrauterine distress and macrosomia,and other adverse pregnancy outcomes between the two groups(P > 0

关 键 词：妊娠期糖尿病 护理 智谋理论 血糖 疾病感知 疾病获益感 妊娠结局 

分 类 号：R587.1[医药卫生—内分泌]