时效性激励护理联合认知负荷式饮食教育对妊娠期糖尿病患者血糖控制达标率、依从性的影响  

Effects of time-efficient incentive nursing combined with cognitive load-based dietary education on the control rate of glucose and the compliance of the patients with gestational diabetes

作　　者：刘东梅 李维真[1] 胡玲[1] 许宝莹 LIU Dongmei;LI Weizhen;HU Ling;XU Baoying(Huadu Maternal and Child Health Hospital of Guangzhou City,Huzhong Hospital,Guangdong,Guangzhou 510800,China)

机构地区：[1]广州市花都区妇幼保健院(胡忠医院),广东广州510800

出　　处：《中国医药科学》2022年第1期109-112,共4页China Medicine And Pharmacy

基　　金：广东省广州市花都区医疗卫生一般科研专项项目(20-HDWS-059)。

摘　　要：目的探究时效性激励护理联合认知负荷式饮食教育对妊娠期糖尿病患者血糖控制达标率、依从性的影响。方法选取广州市花都区妇幼保健院2021年1—5月收治的120例妊娠期糖尿病患者,使用随机数字表法分为研究组(n=60)和对照组(n=60),对照组采取常规方式护理,研究组联合应用时效性激励护理和认知负荷式饮食教育,分析两组在血糖水平、依从性和不良妊娠结局方面的差异。结果干预前,两组患者空腹血糖、餐后2 h血糖、糖化血红蛋白差异无统计学意义(P>0.05),干预后,两组患者血糖水平均有所下降(P<0.05),且研究组低于对照组(P<0.05);研究组对胰岛素使用、监测血糖、定期检查的依从性均明显高于对照组(P<0.05);研究组胎膜早破、羊水过多、巨大儿、新生儿低血糖等不良妊娠结局的总发生率明显低于对照组(P<0.05);干预后研究组心理负荷及心智努力评分均明显低于对照组(P<0.05)。结论时效性激励护理联合认知负荷式饮食教育能够有效控制妊娠期糖尿病患者的血糖水平,提高患者依从性,促进妊娠结局的改善。Objective To investigate the effect of time-efficient incentive nursing combined with cognitive load-based dietary education on the control rate of glucose and the compliance of the patients with gestational diabetes.Methods A total of 120 patients with gestational diabetes admitted to Huadu Maternal and Child Health Hospital of Guangzhou City from January to May 2021 were divided into the study group(n=60)and the control group(n=60)according to the random number table method.The control group received conventional nursing,while the study group received time-efficient incentive nursing combined with cognitive load-based dietary education on the basis of conventional nursing.The differences in blood glucose level,compliance and adverse gestational outcomes were compared between the two groups.Results There were no significant differences in the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin between the two groups before the intervention(P>0.05).The blood glucose levels decreased in both groups after the intervention(P<0.05),and those in the study group were lower than those in the control group(P<0.05).The compliance of patients with insulin use,blood glucose monitoring,and regular checkups was significantly higher in the study group than that in the control group(P<0.05).The incidences of adverse pregnancy outcomes such as premature rupture of membranes,polyhydramnios,macrosomia,and neonatal hypoglycemia in the study group were significantly lower than those in the control group(P<0.05).The psychological load and mental effort scores in the study group were significantly lower than those in the control group after the intervention(P<0.05).Conclusion Time-efficient incentive nursing combined with cognitive load-based dietary education can effectively control the blood glucose level of patients with gestational diabetes,improve patient compliance,and thus promote the improvement of pregnancy outcomes.

关 键 词：时效性激励护理 认知负荷式饮食教育 妊娠期糖尿病 血糖控制 

分 类 号：R473.74[医药卫生—护理学]