定量饮食运动制订在妊娠糖尿病患者中的应用效果  

Application effect of quantitative diet exercise formulation in patients with gestational diabetes mellitus

作　　者：张娟[1] 支芬芳 ZHANG Juan;ZHI Fenfang(Department of Obstetrics,Huaian First People’s Hospital,Jiangsu Province,Huaian223300,China)

机构地区：[1]江苏省淮安市第一人民医院产科,江苏淮安223300

出　　处：《中国医药导报》2023年第3期152-155,共4页China Medical Herald

基　　金：江苏省研究生科研与实践创新计划项目(SJCX180501)。

摘　　要：目的探究定量饮食运动制订在妊娠糖尿病患者中的应用效果。方法选取2019年1月至2021年8月江苏省淮安市第一人民医院治疗的妊娠糖尿病患者98例为研究对象,采用电脑分层抽样法将患者分为对照组和观察组,每组49例。两组均实施常规护理干预,观察组在此基础上定量饮食运动制订干预。干预前后比较两组自我管理能力、血糖水平、母婴并发症发生情况。结果干预后,两组进食蔬菜水果、遵医嘱血糖监测评分均高于干预前,且观察组高于对照组,健康饮食、30 min运动、进食油脂多食物评分低于干预前,且观察组低于对照组(P<0.05)。两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于干预前,且观察组低于对照组(P<0.05)。观察组母婴并发症总发生率低于对照组(P<0.05)。结论对妊娠糖尿病患者实施定量饮食运动制订干预方式能够提高患者自我管理水平,降低血糖及产后母婴并发症。Objective To explore the application effect of quantitative diet exercise formulation in patients with gestational diabetes mellitus.Methods A total of 98 patients with gestational diabetes mellitus treated in Huaian First People’s Hospital,Jiangsu Province from January 2019 to August 2021 were selected as subjects,the patients were divided into control group and observation group by computer stratified sampling,with 49 cases in each group.Routine nursing intervention was carried out in both groups,and the observation group formulated intervention based on quantitative diet exercise.The self-management ability,blood glucose level and maternal and infant complications were compared before and after the intervention.Results After intervention,the blood glucose monitoring scores of eating vegetables and fruits and following medical advice were all higher than before intervention,and the observation group was higher than the control group,the scores of healthy diet,30 min exercise and eating fatty food were lower than before intervention,and the observation group was lower than the control group(P<0.05).Fasting blood glucose,2 h postprandial blood glucose,and glycosylated hemoglobin in two groups were lower than those before intervention,and observation group was lower than control group(P<0.05).The total incidence of maternal and infant complications in observation group was lower than that in control group(P<0.05).Conclusion Quantitative diet exercise intervention can improve their self-management,reduce blood glucose,and postpartum maternal and infant complications.

关 键 词：定量饮食运动制订 妊娠糖尿病 自我管理能力 空腹血糖 母婴并发症 

分 类 号：R473[医药卫生—护理学]