护患互动达标模式结合个体化生活指导在妊娠糖尿病患者中的应用  

Application of nurse-patient interaction standard model combined with individualized life guidance in gestational diabetes mellitus patients

作　　者：韦忠培 WEI Zhongpei(Department of Endocrinology,Nanjing First Hospital,Nanjing Medical University,Jiangsu Province,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院内分泌科,江苏南京210006

出　　处：《妇儿健康导刊》2024年第18期135-138,194,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析护患互动达标模式结合个体化生活指导在妊娠糖尿病(GDM)患者中的应用效果。方法通过随机数字表法将2021年4月至2023年2月南京医科大学附属南京医院收治的126例GDM患者分为两组。对照组(63例)行常规护理干预,观察组(63例)在对照组的基础上开展护患互动达标模式结合个体化生活指导,比较两组自护能力[自我护理能力测定量表(ESCA)]、血糖相关指标[空腹血糖(FPG)和餐后2h血糖(2 h PG)]水平、心理状态[汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)]和总满意率。结果干预后观察组ESCA评分较对照组高,FPG、2 h PG水平和HAMD、HAMA评分较对照组低(P<0.05);观察组总满意率较对照组高(P<0.05)。结论对GDM患者开展护患互动达标模式结合个体化生活指导,可改善血糖情况,缓解不良情绪,提升自护能力及满意度。Objective To analyze the application effect of nurse-patient interaction standard model combined with individualized life guidance in patients with gestational diabetes mellitus(GDM).Methods A total of 126 GDM patients admitted to Nanjing First Hospital,Nanjing Medical University from April 2021 to February 2023 were divided into two groups by random number table method.The control group(63 cases)carried out routine nursing intervention,and the observation group(63 cases)carried out the nurse-patient interaction standard model combined with individualized life guidance on the basis of the control group.The self-care ability(exercise of self-care agency scale[ESCA]),blood glucose related indicators(fasting plasma glucose[FPG]and 2 hour postprandial plasma glucose[2 h PG]),psychological state(Hamilton depression scale[HAMD],Hamilton anxiety scale[HAMA]),and total satisfaction rate were compared between the two groups.Results After intervention,the ESCA score of the observation group was higher than that of the control group,and the FPG and 2 h PG levels,HAMD and HAMA scores were lower than those of the control group(P<0.05).The total satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion The nurse-patient interaction standard model combined with individualized life guidance for GDM patients can improve blood glucose,relieve negative emotions,and improve self-care ability and satisfaction.

关 键 词：妊娠糖尿病 护患互动达标模式 个体化生活指导 血糖 自我护理能力 

分 类 号：R473.71[医药卫生—护理学]