孕期饮食指导联合运动指导在妊娠期糖尿病患者护理中的应用  

Application of Diet Guidance Combined with Exercise Guidance During Pregnancy in Nursing Care of Patients with Diabetes During Pregnancy

作　　者：章保英 ZHANG Baoying(Guangze County Hangchuan Community Health Service Center,Nanping 354100,China)

机构地区：[1]南平市光泽县杭川社区卫生服务中心,南平354100

出　　处：《中国医药指南》2024年第21期167-169,共3页Guide of China Medicine

摘　　要：目的探讨孕期饮食指导联合运动指导在妊娠期糖尿病(GDM)患者护理中的应用效果。方法经随机数字表法将2023年1月至2023年12月南平市光泽县杭川社区卫生服务中心86例GDM产妇分为观察组、对照组,均43例。对照组予以常规护理,观察组给予孕期饮食指导联合运动指导。比较两组产妇血糖水平、不良分娩结局、情绪状态、生活质量、依从性、自护能力。结果护理后两组患者2 hPG、FPG及HbA1c数值较护理前降低,且观察组低于对照组(P<0.05)。观察组出现早产、产后出血、新生儿低血糖、生长迟缓4项不良结局总占比较对照组低(P<0.05)。护理后两组患者焦虑(SAS)、抑郁(SDS)评分较护理前低,且观察组低于对照组(P<0.05)。护理后观察组SF-36评分高于对照组(P<0.05)。观察组依从性高于对照组(P<0.05)。两组自护能力(ESCA)评分相比,观察组较对照组更高(P<0.05)。结论孕期饮食指导联合运动指导能改善GDM患者的血糖水平,减少不良分娩结局与不良情绪,其生活质量、依从性、自护能力均得到提高,值得推广应用。Objective To explore the application effect of diet guidance combined with exercise guidance during pregnancy in the nursing of patients with gestational diabetes mellitus(GDM).Methods From January 2023 to December 2023,86 GDM parturients in Guangze County Hangchuan Community Health Service Center were randomly divided into observation group and control group,with 43 cases in each group.The control group was given routine care,while the observation group was given diet guidance combined with exercise guidance during pregnancy.The blood sugar level,adverse delivery outcome,emotional state,quality of life,compliance and self-care ability of the two groups were compared.Results After nursing,the values of 2 hPG,FPG and HbA1c in two groups were lower than those before nursing,and the observation group was lower than the control group(P<0.05).Preterm birth,postpartum hemorrhage,neonatal hypoglycemia and growth retardation in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of anxiety(SAS)and depression(SDS)in the two groups were lower than those before nursing,and the observation group was lower than the control group(P<0.05).After nursing,the SF-36 score of the observation group was higher than that of the control group(P<0.05).The compliance of observation group was higher than that of control group(P<0.05).The score of self-care ability(ESCA)in the observation group was higher than that in the control group(P<0.05).Conclusions Dietary guidance combined with exercise guidance during pregnancy can improve the blood sugar level of GDM patients,reduce adverse delivery outcomes and negative emotions,and improve their quality of life,compliance and self-care ability,which is worth popularizing.

关 键 词：妊娠 孕期饮食指导 运动指导 血糖水平 分娩结局 情绪状态 

分 类 号：R473.71[医药卫生—护理学] R714.256[医药卫生—临床医学]