家庭同步赋能管理对妊娠糖尿病产妇产后恢复的影响  

Effect of family synchronous empowerment management on postpartum recovery of pregnant women with gestational diabetes mellitus

作　　者：张丽芹[1] 陈小芳[2] 陈红惠 李小琴[4] ZHANG Liqin;CHEN Xiaofang;CHEN Honghui;LIXiaoqin(Nursing Administrative Department,Nantong Maternal and Child Health Care Hospital affiliated to Nantong University,Nantong,Jiangsu 226018,China;Labor and Delivery Center,Nantong Maternal and Child Health Care Hospital affiliated to Nantong University,Nantong,Jiangsu 226018,China;Gynecological Department,Nantong Maternal and Child Health Care Hospital affiliated to Nantong University,Nantong,Jiangsu 226018,China;Obstetrical Department,Nantong Maternal and Child Health Care Hospital affiliated to Nantong University,Nantong,Jiangsu 226018,China)

机构地区：[1]南通大学附属南通妇幼保健院护理部,江苏南通226018 [2]南通大学附属南通妇幼保健院分娩中心,江苏南通226018 [3]南通大学附属南通妇幼保健院妇科,江苏南通226018 [4]南通大学附属南通妇幼保健院产科,江苏南通226018

出　　处：《中国优生与遗传杂志》2022年第1期152-156,共5页Chinese Journal of Birth Health & Heredity

基　　金：南通市市级科技计划项目(GJZ17018)。

摘　　要：目的探讨家庭同步赋能管理对妊娠糖尿病产妇产后恢复的影响。方法选取2019年1月—2019年12月在产科分娩的160例妊娠糖尿病产妇,按照分娩时间不同分为对照组(n=73)和实验组(n=87)。自分娩至产后1年,对照组给予常规管理干预,实验组给予家庭同步赋能管理,比较两组产妇自我管理能力、纯母乳喂养和产后恢复情况差异。结果产后42 d,实验组自我管理能力评分和纯母乳喂养率优于对照组,差异具有统计学意义(P<0.05)。产后6个月,实验组胰岛素抵抗指数、胰岛β细胞功能指数和体质量指数优于对照组,差异有统计学意义(P<0.05)。产后42 d、产后1年,实验组糖代谢正常率高于对照组,差异具有统计学意义(P<0.05)。结论家庭同步赋能管理用于妊娠糖尿病产妇产后恢复可提高产妇自我管理能力,有效控制体质量,促进胰岛β细胞功能恢复和纯母乳喂养,改善糖代谢状况,预防糖尿病的发生。Objective To explore the effect of family synchronous empowerment management on postpartum recovery of pregnant women with gestational diabetes mellitus.Methods 160 pregnant women with gestational diabetes mellitus who delivered in obstetrics department from January 2019 to December 2019 were selected and divided into control group(n=73)and experimental group(n=87)according to different delivery time.From delivery to 1 year after delivery,the control group was given management intervention,and the experimental group was given family synchronous empowerment management.The differences of self-management ability,exclusive breastfeeding and postpartum recovery between the two groups were compared.Results 42 days after delivery,the score of self-management ability and exclusive breastfeeding rate of the experimental group were better than those of the control group(P<0.05).6 months after delivery,the insulin resistance index,isletβcell function index and body mass index of the experimental group were better than those of the control group(P<0.05).After 42 days and 1 year postpartum,the normal rate of glucose metabolism in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Family synchronous empowerment management for postpartum recovery of pregnant women with gestational diabetes mellitus can effectively improve maternal self-management ability,control body weight,promote the recovery of islet beta cell function and exclusive breastfeeding,improve glucose metabolism and prevent the occurrence of diabetes mellitus.

关 键 词：赋权理论 妊娠糖尿病 家庭 糖代谢 产后恢复 

分 类 号：R473.71[医药卫生—护理学]