家属协同护理管理模式下妊娠期糖尿病一日门诊教育的效果  

Effect of One-Day Outpatient Education for Gestational Diabetes Mellitus Under Family Coordinated Nursing Management Mode

作　　者：朱建英[1] 代炳梅[1] 苏丽珍[1] 黄锡纯 骆志慧 曾金媚 陈嘉雯 Zhu Jian-ying;Dai Bing-mei;Su Li-zhen;Huang Xi-chun;Luo Zhi-hui;Zeng Jin-mei;Chen Jia-wen(Department of Obstetrics,Dongguan Maternal and Child Health Care Hospital,Dongguan 523001,Guangdong Province,China)

机构地区：[1]东莞市妇幼保健院产科,广东东莞523001

出　　处：《中国社区医师》2022年第16期141-143,共3页Chinese Community Doctors

基　　金：广东省医学科学技术研究基金项目(编号:A2020191)。

摘　　要：目的:构建家属协同护理管理模式下妊娠期糖尿病(GDM)一日门诊教育方案并明确其临床干预效果。方法:收集2019年5月-2021年8月东莞市妇幼保健院就诊的GDM孕妇600例,采用随机数字表法分为对照组(常规GDM健康教育)、一日门诊组(孕妇单独参与一日门诊健康教育)和研究组(孕妇和家属共同参与一日门诊健康教育且整个孕期家属协同管理),各200例。收集三组孕妇分娩结局,包括胎膜早破、产后出血、剖宫产、早产、胎儿宫内窘迫及巨大胎等情况,收集三组孕产妇在产后体重指数、产后口服葡萄糖耐量试验(OGTT)中空腹血糖及餐后2 h血糖情况。结果:研究组的胎膜早破、剖宫产、胎儿宫内窘迫及巨大胎发生率显著低于对照组及一日门诊组,差异有统计学意义(P<0.05)。胎儿宫内窘迫研究组与一日门诊组比较,差异无统计学意义(P>0.05)。一日门诊组的产后体重指数,产后OGTT空腹血糖、餐后2 h血糖情况较对照组相比显著降低,差异有统计学意义(P<0.05),而研究组较一日门诊组对比,上述指标进一步降低,差异均有统计学意义(P<0.05)。结论:对GDM孕妇实施家属协同护理管理模式下妊娠期糖尿病一日门诊教育方案可显著改善妊娠结局及血糖指标。Objective: To establish a one-day outpatient education program for gestational diabetes mellitus(GDM) under familycoordinated nursing management mode and to clarify its clinical intervention effect. Methods: From May 2019 to August 2021, 600pregnant women with GDM in Dongguan Maternal and Child Health Care Hospital were collected, using the random number tablemethod, they were divided into the control group(routine health education of GDM), one-day outpatient group(one-day outpatienthealth education of pregnant women alone) and the study group(one-day outpatient health education of pregnant women and theirfamilies and family coordinated nursing management during the whole pregnancy), with 20 cases in each group. The deliveryoutcomes of pregnant women in the three groups were collected, including premature rupture of membranes, postpartumhemorrhage, cesarean section, premature delivery, intrauterine distress and huge fetus. Postpartum body mass index andpostpartum oral glucose tolerance test(OGTT) including fasting blood glucose and postprandial 2 h blood glucose of pregnantwomen in the three groups were collected. Results: The rates of premature rupture of membranes, cesarean section, intrauterinedistress and huge fetus in the study group were significantly lower than those in the control group and the one-day outpatientgroup, and the difference was statistically significant(P<0.05). There was no significant difference between the control group andthe one-day outpatient group(P>0.05). Compared with the control group, the postpartum body mass index and postpartum OGTT(fasting blood glucose, postprandial 2 h blood glucose) of the one-day outpatient group were significantly lower, and the differencewas statistically significant(P<0.05);compared with the one-day outpatient group, the above indicators were further reduced in thestudy group, and the difference was statistically significant(P<0.05). Conclusion: One-day outpatient education program forpregnant women with GDM under family coordinated nursing management mo

关 键 词：妊娠期糖尿病 家属协同护理管理 一日门诊 血糖 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]