以家庭及家庭医生支持为焦点的干预模式对妊娠期糖尿病患者产后自我管理的影响  

Effect of intervention model focusing on family and family doctor support on postpartum self-management in patients with gestational diabetes mellitus

作　　者：曾丽玲[1] 郭晶晶[1] 刘燕玲[1] 邹文霞[1] 雷琼[1] 钟雪燕 ZENG Liling;GUO Jingjing;LIU Yanling;ZOU Wenxia;LEI Qiong;ZHONG Xueyan(Department of Obstetrics,Guangdong Maternal and Child Health Hospital,Guangdong,Guangzhou 511442,China;Community Health Service Center of Shawan Town of Panyu District of Guangdong City,Guangdong,Guangzhou 511400,China)

机构地区：[1]广东省妇幼保健院产科,广东广州511442 [2]广州市番禺区沙湾镇社区卫生服务中心,广东广州511400

出　　处：《中国医药科学》2021年第21期146-148,166,共4页China Medicine And Pharmacy

基　　金：广东省医学科学技术研究基金项目(C2020035)。

摘　　要：目的探讨以家庭及家庭医生支持为焦点的干预模式对妊娠期糖尿病患者血糖控制及产后自我管理的影响。方法选取广东省妇幼保健院2019年12月至2020年3月收治的妊娠期糖尿病患者120例。采用随机数字表法分为对照组和观察组,每组各60例。对照组给予常规产后指导,观察组给予以家庭及家庭医生支持为焦点的护理干预,比较两组患者护理干预前及产后血糖控制情况,产后糖尿病自我管理量表(DSMQ)、糖尿病自我活动量表(SDSCA)、糖尿病患者家庭成员行为量表(DFBC)评分情况及护理满意度。结果护理干预前,两组空腹血糖(FPG)与餐后2 h血糖(2 h PBG)比较,差异无统计学意义(P>0.05);两组产后FPG与2 h PBG低于护理干预前(P<0.05),观察组产后FPG与2 h PBG均低于对照组(P<0.05);观察组产后DSMQ、SDSCA、DFBC评分均高于对照组(P<0.05)。观察组护理总满意度为96.67%,明显高于对照组的76.67%(P<0.05)。结论以家庭及家庭医生支持为焦点的干预模式可显著提高妊娠期糖尿病患者产后自我管理能力,改善血糖水平,护理效果满意,值得推广和应用。Objective To explore the effect of intervention model focusing on family and family doctor support on blood glucose control and postpartum self-management in patients with gestational diabetes mellitus(GDM).Methods A total of 120 GDM patients admitted to and treated in Guangdong Maternal and Child Health Hospital from December 2019 to March 2020 were selected as the research objects.The patients were randomly divided into the control group(n=60)and the observation group(n=60)according to the random number method.The control group was given conventional postpartum guidance,and the observation group was given nursing intervention focusing on the support of family and family doctors.The blood glucose control before nursing intervention and after partum,and the scores of Diabetes Self-Management Questionnaire(DSMQ),Summary of Diabetes Self-Care Activities Measure(SDSCA),Diabetes Family Behavior Checklist(DFBC)and nursing satisfaction were compared between the two groups.Results Before nursing intervention,there were no significant differences in fasting plasma glucose(FPG)and 2-hour postprandial blood glucose(2 h PBG)between the two groups(P>0.05).The postpartum FPG and 2 h PBG in the two groups were lower than those before nursing intervention(P<0.05),and the postpartum FPG and 2 h PBG in the observation group were lower than those in the control group(P<0.05).The postpartum DSMQ score,SDSCA score and DFBC score in the observation group were higher than those in the control group(P<0.05).The total nursing satisfaction of the observation group(96.67%)was significantly higher than that of the control group(76.67%)(P<0.05).Conclusion The intervention model focusing on the support of family and family doctors can significantly improve the postpartum self-management ability and improve the level of blood glucose of GDM patients,with satisfactory nursing effect,which is worthy of popularization and clinic application.

关 键 词：家庭医生 家庭护理 妊娠期糖尿病 血糖控制 产后自我管理 

分 类 号：R473.71[医药卫生—护理学]