孕期保健措施联合量化健康教育在妊娠期糖尿病中的应用效果及对预后的影响  

Effect of Pregnancy Health Care Measures Combined with Quantitative Health Education on Gestational Diabetes Mellitus and its Influence on Prognosis

作　　者：杨晓兰 YANG Xiaolan(Community Health Service Center,Luoxing Street,Mawei District,Fuzhou City,Fujian Province,Fuzhou 350015,China)

机构地区：[1]福建省福州市马尾区罗星街道社区卫生服务中心,福建福州350015

出　　处：《中国医药指南》2023年第34期175-178,共4页Guide of China Medicine

摘　　要：目的探讨在妊娠期糖尿病患者中采用孕期保健措施联合量化健康教育的效果及对预后的影响。方法从2021年1月至2022年12月管理的妊娠期糖尿病患者中抽取符合纳入条件的80例患者进行回顾性分析,根据护理方式的差异性将其分为两组,其中单独接受孕期保健措施干预的41例患者纳入对照组,接受孕期保健措施联合量化健康教育的39例纳入观察组。对对照组和观察组护理前及护理后的空腹血糖、餐后2 h血糖水平及糖尿病患者自我管理行为量表(SDSCA)评分进行比较,同时统计两组预后(妊娠结局、新生儿预后)。结果观察组护理后空腹血糖、餐后2 h血糖水平与对照组相比,观察组比对照组低(t=2.281、3.030,P<0.05);观察组护理后SDSCA各维度评分与对照组相比较,观察组比对照组高(P<0.05);对比两组自然分娩率,观察组(75.61%)比对照组(56.10%)高(P<0.05);观察组和对照组新生儿不良预后发生率分别为5.13%、24.39%,观察组低于对照组(P<0.05)。结论在妊娠期糖尿病患者中开展孕期保健措施联合量化健康教育干预,能够加强其自护能力,控制血糖稳定,提高自然分娩率,减少新生儿不良预后。Objective To explore the effect of prenatal health care measures combined with quantitative health education on the prognosis of patients with gestational diabetes mellitus.Methods Eighty pregnant women with diabetes who were managed from January 2021 to December 2022 were selected and analyzed retrospectively,and they were divided into two groups according to differences in nursing methods,among which 41 patients who received prenatal health care intervention alone were included in the control group,39 cases who received prenatal health care measures combined with quantitative health education were included in the observation group.The fasting blood glucose levels,2 h postprandial blood glucose levels and SDSCA scores of the control group and observation group before and after care were compared,and the prognosis of the two groups(pregnancy outcome,neonatal prognosis)was analyzed.Results Compared with the control group,the levels of fasting blood glucose and 2 h post-meal blood glucose in the observation group after nursing were lower than those in the control group(t=2.281,3.030,P<0.05).The SDSCA scores of the observation group were higher than those of the control group(P<0.05).The natural delivery rate of the two groups was higher in the observation group(75.61%)than in the control group(56.10%)(P<0.05).The incidence of adverse prognosis in the observation group and the control group was 5.13%and 24.39%,respectively,and the observation group was lower than the control group(P<0.05).Conclusions Pregnancy health care measures combined with quantitative health education intervention in gestational diabetes patients can strengthen their self-care ability,control blood sugar stability,improve the rate of natural childbirth,and reduce the adverse prognosis of newborns.

关 键 词：妊娠期糖尿病 孕期保健措施 量化健康教育 预后 

分 类 号：R714.25[医药卫生—妇产科学]