基于自我效能的集中群组保健模式对妊娠期糖尿病孕妇妊娠结局的影响  

Effect of self-efficacy based centralized group health care model on pregnancy outcomes of gestational diabetes mellitus pregnant women

作　　者：魏榕[1] 刘鑫 谭英葵[1] 韦海兰[1] 谢兆梅 刘凤琴 WEI Rong;LIU Xin;TAN Yingkui;WEI Hailan;XIE Zhaomei;LIU Fengqin(Nanning First People's Hospital,Nanning,530022,China)

机构地区：[1]广西壮族自治区南宁市第一人民医院,530022

出　　处：《护理实践与研究》2023年第14期2153-2158,共6页Nursing Practice and Research

基　　金：广西壮族自治区卫健委科研课题(编号:Z20190360)。

摘　　要：目的探讨集中群组孕期保健模式为框架的孕期保健对妊娠期糖尿病(GDM)患者妊娠结局及围生期儿的影响。方法选取2019年5月—2020年11月在南宁市第一人民医院产科就诊的110例GDM患者作为研究对象,按照组间基本资料匹配的原则分为观察组和对照组,各55例。对照组按时产检,每次产检时由医生给予常规GDM健康宣教;观察组在对照组的基础上实施以提高自我效能为切入点的集中群组孕期保健管理模式。比较两组患者干预后孕28、32、36周自我效能、空腹血糖、餐后血糖、分娩时糖化血红蛋白等指标和妊娠结局。结果两组患者不同孕周在自我效能感、空腹及餐后血糖、分娩时糖化血红蛋白等指标比较组间、不同时间点、组间与不同时间点交互作用差异具有统计学意义(P<0.05)。观察组自然分娩率高于对照组,差异有统计学意义(P<0.05)。观察组新生儿低血糖发生率低于对照组,差异具有统计学意义(P<0.05)。结论集中群组式保健模式能提高GDM患者的自我管理自我效能,改善妊娠结局,可有效减少GDM并发症的发生。Objective To explore the impact of centralized group pregnancy care model as a framework on pregnancy outcomes and perinatal infants in gestational diabetes mellitus(GDM)patients.Methods A total of 110 GDM patients who visited Nanning First People's Hospital from May 2019 to November 2020 were selected as the research objects.According to the principle of matching basic data between groups,they were divided into an observation group and a control group,with 55 cases in each group.The control group underwent regular prenatal examinations,with doctors providing routine GDM health education during each examination;on the basis of the control group,the observation group implemented a centralized group pregnancy health management model with improving self-efficacy as the entry point.The indexes of self-efficacy,Glucose test#Fasting blood sugar,postprandial blood glucose,glycated hemoglobin at delivery and pregnancy outcome were compared between the two groups after intervention at 28,32 and 36 weeks of pregnancy.Results There were statistically significant differences in indexes,such as the self-efficacy,fasting and postprandial blood glucose,and glycated hemoglobin and so on,which were compared between the two groups,groups,different time point,and the interactions between the groups and different time points in the patients between the two groups who was in different gestational weeks(P<0.05).The rate of natural childbirth in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of hypoglycemia in newborns in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The centralized group health care model can improve the self-management self-efficacy of GDM patients,improve pregnancy outcomes,and effectively reduce the occurrence of GDM complications.

关 键 词：妊娠期糖尿病 自我效能 集中群组式保健模式 妊娠结局 血糖 

分 类 号：R473.71[医药卫生—护理学]