群组孕期保健模式对GDM伴亚临床甲减孕妇的干预效果  

Application effect of the group health care model for pregnant women with gestational diabetes mellitus and subclinical hypothyroidism

作　　者：邱娟娟 黄春美 QIU Juanjuan;HUANG Chunmei(Quzhou People's Hospital,Quzhou,Zhejiang Province,324000)

机构地区：[1]浙江省衢州市人民医院,324000

出　　处：《中国计划生育学杂志》2024年第10期2349-2352,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨群组孕期保健模式对妊娠期糖尿病(GDM)伴亚临床甲减孕妇干预效果。方法:选取2020年3月-2023年8月本院收治的GDM伴亚临床甲减孕妇124例,随机数表法按1:1分为观察组与对照组各62例,均接受临床常规治疗(门冬胰岛素+左旋甲状腺素),两组均给予综合护理管理措施,观察组同时给予群组孕期保健模式,比较两组干预前后甲状腺功能、血糖指标及心理状态变化,记录两组妊娠期并发症及不良妊娠结局。结果:治疗后两组血清促甲状腺激素、游离甲状腺素、空腹血糖、餐后2h血糖及心理状态均改善,且观察组改善效果优于对照组,观察组抑郁自评量表(20.54±2.88分)、焦虑自评量表(22.63±3.01分)均低于对照组(31.27±3.14分、33.24±3.30分),并发症发生率(6.5%)低于对照组(19.4%),流产发生(0)低于对照组(6.5%)(均P<0.05)。结论:群组孕期保健模式应用在GDM伴亚临床甲减患者中,能帮助患者稳定控制孕期血糖水平,改善甲状腺功能及心理状态,明显降低妊娠期并发症发生风险,改善妊娠结局。Objective: To discuss the application effect of the group health care model for pregnant women with gestational diabetes mellitus(GDM) and subclinical hypothyroidism. Methods: 124 pregnant women with GDM and subclinical hypothyroidism admitted to the hospital were selected as the research subjects between March 2020 and August 2023. These women were divided into observation group and control group(62 cases in each group) by the random number table method. All women in the two groups were given clinical conventional treatments(insulin aspart combined with levothyroxine) and were given the comprehensive nursing management. The women in the observation group were also given the group health care model additionally. The changes of the thyroid function, blood glucose level and psychological states of the women before and after the intervention were compared between the two groups. The pregnancy complications and the adverse pregnancy outcomes of the women in the two groups were recorded. Results: The serum thyrotropin and free thyroxine, the fasting blood sugar, the 2h postprandial blood glucose level and the psychological state of the women in the two groups after treatment had improved significantly, and the improved effect of which of the women in the observation group was significantly better than that of the women in the control group. The scores of the self-rating depression scale(20.54±2.88 points) and the self-rating anxiety scale(22.63±3.01 points) of the women in the observation group were significantly lower than those(31.27±3.14 points and 33.24±3.30 points) of the women in the control group. The incidences of complications(6.5%) and abortion(6.5%) of the women in the observation group were significantly lower than those(19.4% and 0) of the women in the control group(all P<0.05). Conclusion: The group health care model for the pregnant women with GDM and subclinical hypothyroidism can not only stably control their blood glucose level, improve their thyroid function and psychological states, but also ca

关 键 词：妊娠期糖尿病 亚临床甲减 群组孕期保健模式 甲状腺功能 血糖 妊娠期并发症 心理状态 

分 类 号：R473.71[医药卫生—护理学]