干预图式健康教育联合运动管理在妊娠期糖尿病患者中的应用价值  

Application value of intervention schema health education and exercise management in patients with gestational diabetes

作　　者：吴赛赛 张丽芹[2] 陈小芳[1] 张海波 朱丹[1] WU Saisai;ZHANG Liqin;CHEN Xiaofang(Department of Obstetrics,Affiliated Maternity and Child Health Care Hospital of Nantong University,Jiangsu,Nantong 226018,China;不详)

机构地区：[1]南通大学附属南通妇幼保健院产科,江苏省南通市226018 [2]南通大学附属南通妇幼保健院护理部,江苏省南通市226018 [3]南通大学附属南通妇幼保健院内分泌科,江苏省南通市226018

出　　处：《河北医药》2024年第17期2626-2629,共4页Hebei Medical Journal

基　　金：南通市卫生健康委员会科研课题(编号:QNZ2022040);南通市妇幼健康专科联盟科研项目(编号:TFM202304)。

摘　　要：目的探讨干预图式健康教育联合运动管理在妊娠期糖尿病患者中的应用价值。方法纳入我院2020年5月至2022年5月收治的妊娠期糖尿病患者120例为研究对象,随机分为对照组和观察组,每组60例。对照组采用常规护理干预措施,观察组采用干预图式健康教育联合运动管理,比较2组的血糖指标水平、自我护理能力、妊娠结局、新生儿结局和依从性。结果2组干预后的空腹血糖、餐后2 h血糖和糖化血红蛋白的水平均低于干预前,观察组低于对照组(P<0.05)。2组干预后的自我护理能力评定量表(ESCA)评分高于干预前,观察组高于对照组(P<0.05)。观察组的早产、胎儿窘迫、羊水过多、巨大儿发生率,低于对照组(P<0.05)。观察组的遵医饮食、康复锻炼、遵医治疗、血糖监测及定期复查依从率高于对照组(P<0.05)。结论在妊娠期糖尿病患者中,应用干预图式健康教育联合运动管理进行护理干预,可改善患者的血糖指标水平、妊娠结局、新生儿结局,提高患者自我护理能力和依从性,干预效果显著。Objective To explore the application value of intervention schema health education combined with exercise management in patients with gestational diabetes.Methods A total of 120 patients with gestational diabetes admitted to our hospital from May 2020 to May 2022 were enrolled in the study.They were randomly divided into the control group(n=60,routine nursing interventions)and the observation group(n=60,intervention schema health education+exercise management).The blood glucose index level,self care ability,pregnancy outcome,neonatal outcome,and compliance were compared between the two groups.Results After intervention,the levels of fasting blood glucose,2h postprandial blood glucose,and glycosylated hemoglobin in both groups were significantly lower than those before intervention,the decreases in the observation group were more common relative to the control group(P<0.05).The score of Exercise of Self-Care Agency Scale(ESCA)in the two groups after intervention was significantly higher than that before intervention,while the observation group was significantly higher than the control group(P<0.05).The incidence of premature delivery,fetal distress,polyhydramnios,and macrosomia in the observation group was significantly lower than that of the control group(P<0.05).The compliance rates of diet,rehabilitation exercise,treatment,blood glucose monitoring,and regular reexamination in the observation group were significantly higher than those of the control group(P<0.05).Conclusion The application of intervention schema health education combined with sports management in nursing for patients with gestational diabetes can improve the level of blood glucose indicators,pregnancy outcomes,neonatal outcomes,and improve their self-care ability and compliance.The intervention effect is significant.

关 键 词：运动管理 妊娠期糖尿病 干预图式健康教育 自我护理能力 妊娠结局 

分 类 号：R587.1[医药卫生—内分泌]