跨理论模式下饮食计划护理对妊娠糖尿病患者血糖水平及妊娠结局的影响  

Effect of diet planning nursing under cross-theoretical model on blood sugar level and pregnancy outcome of patients with gestational diabetes mellitus

作　　者：刘迎迎 蒋春怡 LIU Yingying;JIANG Chunyi(Department of Obstetrics,Huaian First People’s Hospital,Jiangsu Province,Huaian 223001,China)

机构地区：[1]江苏省淮安市第一人民医院产科,江苏淮安223001

出　　处：《中国医药导报》2024年第13期132-134,共3页China Medical Herald

基　　金：江苏省卫生健康委员会医学科研项目(K2019014)。

摘　　要：目的 探讨跨理论模式下饮食计划护理对妊娠糖尿病患者血糖水平及妊娠结局的影响。方法 选取2020年2月至2023年2月江苏省淮安市第一人民医院收治的妊娠糖尿病患者88例,根据随机数字表法将其分为对照组和研究组,各44例。对照组实施常规饮食护理,研究组在对照组基础上实施跨理论模式下饮食计划护理。比较两组依从性、血糖水平及不良妊娠结局发生情况。结果 护理后,两组饮食宣教、饮食护理执行、饮食禁忌和饮食习惯维持评分均高于护理前,且研究组高于对照组(P<0.05);两组空腹血糖、餐后2 h血糖水平均低于护理前,且研究组低于对照组(P<0.05)。研究组不良妊娠结局总发生率低于对照组(P<0.05)。结论 妊娠糖尿病患者实施跨理论模式下饮食计划护理有利于提升饮食指导的依从性,降低血糖水平及不良妊娠结局的发生率。Objective To explore the effect of diet planning nursing under cross-theoretical model on blood glucose level and pregnancy outcome of patients with gestational diabetes mellitus.Methods Eighty-eight patients with gestational diabetes mellitus admitted to Huaian First People's Hospital of Jiangsu Province from February 2020 to February 2023 were selected and divided into control group and research group according to the random number table,with 44 cases in each group.Control group received routine dietary care,while research group received diet planning nursing under cross-theoretical model based on control group.Compliance,blood glucose level and incidence of adverse pregnancy outcomes between two groups were compared.Results After nursing,the scores of dietary education,dietary care implementation,dietary contraindications and maintenance of dietary habits in two groups were higher than those before nursing,and research group was higher than control group(P<0.05);fasting blood glucose and two-hour postprandial blood glucose levels in two groups were lower than those before nursing,and research group was lower than control group(P<0.05).Total incidence rate of adverse pregnancy outcomes in research group was lower than that in control group(P<0.05).Conclusion The diet planning nursing under cross-theoretical model applied in patients with gestational diabetes mellitus can improve the compliance of diet instruction,reduce blood glucose level and incidence rate of adverse pregnancy outcomes.

关 键 词：跨理论模式 饮食计划护理 妊娠糖尿病 血糖水平 妊娠结局 

分 类 号：R473.5[医药卫生—护理学]