跨理论模型护理干预对GDM孕妇自我管理意识及血糖控制效果  

Effect of the nursing intervention based on cross theoretical model for the self-management awareness and the blood glucosecontrol of pregnant women with gestational diabetes mellitus

作　　者：韩佳彤 于周 李蓉 郑琦 HAN Jiatong;YU Zhou;LI Rong;ZHENG Qi(The First Peoples Hospital of Huai'an,Huai'an,Jiangsu Province,223300)

机构地区：[1]江苏省淮安市第一人民医院,223300

出　　处：《中国计划生育学杂志》2024年第10期2345-2348,共4页Chinese Journal of Family Planning

摘　　要：目的:探究跨理论模型护理在妊娠糖尿病(GDM)孕妇中的应用效果。方法:选取本院产科2021年7月-2023年6月接收的GDM孕妇120例,按双数、单数序号分为对照组和观察组各60例,两组均实施常规护理,观察组同时实施跨理论模型护理,干预4周后,对两组孕妇自我管理意识、血糖控制及并发症等指标变化进行统计对比。结果:干预4周后两组自我管理意识行为评分均高于干预前,且观察组均高于对照组,两组血糖水平均低于干预前且观察组血糖指标餐后2h血糖(6.55±1.50mmol/L)、糖化血红蛋白(5.52±1.35)%均低于对照组[(7.36±1.38 mmol/L)(6.35±1.37)%],妊娠期高血压疾病、胎膜早破、低血糖、子痫等并发症总发生率观察组(1.7%)低于对照组(13.3%)(均P<0.05)。结论:跨理论模型护理有效提高了GDM孕妇自我管理意识与行为,对孕期维持血糖水平平稳,降低并发症发生起到了积极作用。Objective:To investigate the application effect of the nursing intervention based on cross theoretical model for the self-management awareness and the blood glucose control of pregnant women with gestational diabetes mellitus(GDM).Methods:120 pregnant women with GDM were selected in 01120 sequential numbering and were divided into two groups(60 cases in each group)based on the dual or singular numbering during the period of July 2021-June 2023.The women in the two groups were given the conventional nursing for 4 weeks,while the women in the research group were given the trans-theoretical modeling nursing additionally.The self management consciousness,the glycemic con-trol status and the complications indicators changes of the pregnant women were compared between the two groups.Results:The consciousness of self management behavior score of the women in the two groups after 4 weeks of inter-vention had increased significantly,and which of the women in the research group was significantly higher than that of the women in the control group.The changes of the blood glucose levels of the women in the two groups after interven-tion had decreased significantly.The level of the postprandial 2h blood glucose(6.55±1.50mmol/L)and the glycosy-lated hemoglobin(5.52±1.35%)of the women in the research group were significantly lower than those(7.36±1.38 mmol/L and 6.35±1.37%)of the women in the control group.The total incidence(1.7%)of complications,such as the hypertensive disorders of pregnancy,the premature rupture of membranes and the hypoglycemia and eclampsia,of the women in the research group was significantly lower than that(13.3%)of the women in the control group(all P<0.05).Conclusion:The trans-theoretical model nursing for the pregnant women with GDM can effectively enhances their self management awareness and behavior,maintain their stable blood glucose level during pregnancy,and reduce their occurrence of complications.

关 键 词：妊娠期糖尿病 跨理论模型护理 自我管理意识 血糖控制 并发症 

分 类 号：R473.71[医药卫生—护理学]