以跨理论模型为框架的模块化营养干预在妊娠糖尿病患者中的应用效果  

Application Effect of Modular Nutritional Intervention Based on A Cross-Theoretical Model in Patients with Gestational Diabetes Mellitus

作　　者：聂小丽 聂俊阳 李杨[1] NIE Xiaoli;NIE Junyang;LI Yang(Genetics and Prenatal Diagnosis Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院遗传与产前诊断中心,河南郑州450000

出　　处：《河南医学研究》2023年第9期1690-1693,共4页Henan Medical Research

摘　　要：目的 探讨以跨理论模型为框架的模块化营养干预在妊娠糖尿病(GDM)患者中的应用效果。方法 本研究采用前瞻性随机对照分析,纳入2021年10月至2022年10月郑州大学第一附属医院收治的112例GDM患者为研究对象,按照随机数字表法分为干预组和对照组,各56例。对照组患者接受常规护理干预,干预组患者接受以跨理论模型为框架的模块化营养干预,观察两组患者干预前及干预后血糖水平、妊娠结局和新生儿结局。结果 干预前,两组患者空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)水平比较,差异无统计学意义(P>0.05);干预后,两组患者FBG、2 h PBG、HbA1c水平降低,且干预组患者FBG、2 h PBG、HbA1c水平低于对照组(P<0.05);干预组患者早产、剖宫产、胎膜早破、产后出血发生率低于对照组(P<0.05);干预组巨大儿、新生儿低血糖、新生儿呼吸窘迫综合征、宫内窘迫发生率低于对照组(P<0.05)。结论 以跨理论模型为框架的模块化营养干预可有效控制GDM患者的血糖水平,改善母婴结局。Objective To explore the application effect of modular nutritional intervention in patients with gestational diabetes mellitus(GDM)based on a cross-theoretical model.Methods A prospective randomized controlled analysis was used in this study.A total of 112 patients with GDM admitted to the First Affiliated Hospital of Zhengzhou University from October 2021 to October 2022 were included in the study.They were divided into intervention group and control group according to the method of random number table,with 56 patients in each group.The patients in the control group received routine nursing intervention,and the patients in the intervention group received modular nutrition intervention based on the cross-theoretical model.The blood glucose level,pregnancy outcome and neonatal outcome of the two groups were observed before and after the intervention.Results Before the intervention,there was no statistically significant difference in the levels of fasting blood glucose(FBG),2 hours postprandial blood glucose(2 h PBG)and glycosylated hemoglobin(HbA1c)between the two groups(P>0.05).After intervention,the levels of FBG,2 h PBG and HbA1c in the two groups were lower,and the levels of FBG,2 h PBG and HbA1c in the intervention group were lower than those in the control group(P<0.05).The incidence of premature delivery,cesarean section,premature rupture of membranes and postpartum hemorrhage in the intervention group was lower than that in the control group(P<0.05).The incidence of macrosomia,neonatal hypoglycemia,neonatal respiratory distress syndrome and intrauterine distress in the intervention group was lower than that in the control group(P<0.05).Conclusion Modular nutritional intervention based on the cross-theoretical model can effectively control the blood glucose level of GDM patients and improve the maternal and infant outcomes.

关 键 词：妊娠糖尿病 跨理论模型 模块化营养 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]