DOHaD理念为基础的饮食护理干预联合运动疗法在妊娠期糖尿病患者中的护理效果分析  

Analysis of the Nursing Effect of DOHaD Concept-based Dietary Nursing Intervention Combined with Exercise Therapy in Patients with Gestational Diabetes Mellitus

作　　者：毕长翠 常静[1] 唐静[1] BI Changcui;CHANG Jing;TANG Jing(Department of Obstetrics,the Affiliated Maternity Hospital of Nanjing Medical University/Nanjing Women and Children's Healthcare Hospital,Nanjing,Jiangsu Province,210004 China)

机构地区：[1]南京医科大学附属妇产医院/南京市妇幼保健院产科,江苏南京210004

出　　处：《糖尿病新世界》2023年第23期143-147,共5页Diabetes New World Magazine

摘　　要：目的 探讨运用以基于生命起始的早期营养与健康(developmental origins of health and disease, DOHaD)理念下饮食护理配合运动疗法对妊娠期糖尿病患者干预价值。方法 选取2022年8月—2023年7月南京医科大学附属妇产医院收治的176例妊娠期糖尿病患者作为研究对象,以随机数表法分为观察组与对照组,每组88例。对照组采用常规护理干预,观察组采用基于DOHaD理念的饮食护理联合运动疗法干预。比较两组体质状况、糖脂代谢、疾病知识、自我效能情况,此外记录不良结局情况。结果 干预后,两组体脂率、空腹胰岛素、空腹血糖、糖化血红蛋白、总胆固醇、三酰甘油、低密度脂蛋白胆固醇、中文版糖尿病患者自我管理行为量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组白蛋白、高密度脂蛋白胆固醇、妊娠期糖尿病知识问卷评分、中文版糖尿病管理自我效能量表评分均优于干预前,且观察组优于对照组,差异有统计学意义(P<0.05)。观察组不良妊娠结局总发生率为4.55%,低于对照组的17.05%,差异有统计学意义(P<0.05)。结论 基于DOHaD理念下饮食护理联合运动疗法干预,能够改善患者营养状况,调节患者糖脂代谢,提高患者自我效能及转变自我管理行为,改善患者妊娠结局。Objective To explore the value of dietary nursing care coupled with exercise therapy under the concept of developmental origins of health and disease(DOHaD)for gestational diabetes mellitus.Methods A total of 176 patients with gestational diabetes mellitus admitted to the Obstetrics and Gynecology Hospital of Nanjing Medical University from August 2022 to July 2023 were selected as the study objects,and were divided into observation group and control group by random number table method,with 88 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with DOHA-based diet nursing combined with exercise therapy intervention.Physical status,glucose and lipid metabolism,disease knowledge and self-efficacy were compared between the two groups,and adverse outcomes were recorded.Results After intervention,body fat percentage,fasting insulin,fasting blood glucose,glycated hemoglobin,total cholesterol,triglyceride,low density lipoprotein cholesterol and the scores of Chinese Version of Summary of Diabetes Self-care Activities of diabetic patients of the two groups were lower than before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Albumin,high density lipoprotein cholesterol,the scores of gestational diabetes knowledge questionnaire and the scores of Chinese Version of Diabetes Management Self-efficacy Scale after intervention of the two groups were better than those before intervention,and the observation group was better than the control group,the differences were statistically significant(P<0.05).The total incidence of adverse pregnancy outcome in the observation group was 4.55%,which was lower than 17.05%in the control group,and the difference was statistically significant(P<0.05).Conclusion Based on the DOHaD concept,dietary nursing care combined with exercise therapy intervention can improve the nutritional status of patients,regulate patients'glucose and lipid metabolism,

关 键 词：妊娠期糖尿病 基于生命起始的早期营养与健康理念 饮食护理 运动疗法 糖脂代谢 妊娠结局 

分 类 号：R47[医药卫生—护理学]