基于问题解决模式的护理干预结合情绪释放法对妊娠期糖尿病患者代谢营养、疾病感知及妊娠结局的影响  

Influences of nursing intervention based on problem solving model combined with emotional release method on metabolism and nutrition,illness perception and pregnancy outcome in patients with gestational diabetes

作　　者：王靖 刘宁 朱丽红[2] WANG Jing;LIU Ning;ZHU Lihong(the Hospital of Fuping County,Weinan 711700;the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)

机构地区：[1]富平县医院,陕西渭南711700 [2]陕西中医药大学第二附属医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第3期146-149,共4页Clinical Research and Practice

基　　金：2020年陕西中医药大学第二附属医院学科创新团队项目(No.2020XKTD-A05)。

摘　　要：目的探讨基于问题解决模式的护理干预结合情绪释放法在妊娠期糖尿病中的应用效果。方法选取2019年2月至2022年2月收治的120例妊娠期糖尿病患者为研究对象,以随机数字表法将其分为对照组和观察组,各60例。对照组施以常规护理干预,观察组在此基础上实施基于问题解决模式的护理干预结合情绪释放法。比较两组的干预效果。结果干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)、总胆固醇(TC)、甘油三酯(TG)、游离脂肪酸(FFA)水平均低于对照组(P<0.05)。干预后,观察组的简化疾病感知量表(BIPQ)各维度评分均低于对照组(P<0.05)。观察组的母婴不良结局总发生率均低于对照组(P<0.05)。结论基于问题解决模式的护理干预结合情绪释放法有助于改善妊娠期糖尿病患者代谢营养,提高疾病感知程度,也能促进妊娠结局改善,值得推广。Objective To explore the application effect of nursing intervention based on problem solving model combined with emotional release method in gestational diabetes.Methods A total of 120 patients with gestational diabetes admitted from February 2019 to February 2022 were selected as the study objects and divided into control group and observation group by random number table method,with 60 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention based on problem solving model combined with emotional release method on this basis.The intervention effects of the two groups were compared.Results After intervention,the levels of fasting blood glucose(FBG),2 hour postprandial blood glucose(2 h PBG),glycated hemoglobin(HbA1c),total cholesterol(TC),triglyceride(TG)and free fatty acid(FFA)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Brief Illness Perceptions Questionnaire(BIPQ)in the observation group were lower than those in the control group(P<0.05).The total incidences of adverse outcomes of mother and child in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on problem solving model combined with emotional release method can improve metabolism and nutrition of patients with gestational diabetes,improve the degree of illness perception,and promote the improvement of pregnancy outcome,which is worth promoting.

关 键 词：问题解决模式 情绪释放法 妊娠期糖尿病 代谢营养 疾病感知 妊娠结局 

分 类 号：R473[医药卫生—护理学]