基于家属赋权的护理模式结合个体化营养膳食管理对妊娠期糖尿病患者膳食行为及自我护理能力的影响  

Effects of nursing model based on family empowerment combined with individualized nutritional diet management on dietary behavior and self-care ability of patients with gestational diabetes mellitus

作　　者：李换玲 李艳军 赵静 LI Huanling;LI Yanjun;ZHAO Jing(Gynecology and Obstetrics Department,Tongchuan City Maternal and Child Health Care Hospital,Tongchuan727000,China)

机构地区：[1]铜川市妇幼保健院妇产科,陕西铜川727000

出　　处：《临床医学研究与实践》2024年第34期175-178,共4页Clinical Research and Practice

摘　　要：目的探讨基于家属赋权的护理模式结合个体化营养膳食管理对妊娠期糖尿病患者膳食行为及自我护理能力的影响。方法择取2021年11月至2022年12月收治的80例妊娠期糖尿病患者为研究对象,将其随机分为对照组和观察组,各40例。对照组采用常规护理干预,观察组在对照组基础上加基于家属赋权的护理模式结合个体化营养膳食管理。比较两组的干预效果。结果干预后,观察组的膳食知识、膳食计划、膳食执行依从性评分高于对照组(P<0.05)。干预后,观察组的自我护理能力测定量表(ESCA)各维度评分均高于对照组(P<0.05)。干预后,观察组的空腹血糖(FPG)、糖化血红蛋白(HbA1c)、低密度脂蛋白胆固醇(LDL-C)水平低于对照组,高密度脂蛋白胆固醇(HDL-C)水平高于对照组(P<0.05)。结论基于家属赋权的护理模式结合个体化营养膳食管理应用于妊娠期糖尿病患者护理中,不仅能够改善其膳食行为,增强自我护理能力,还能有效调节糖脂代谢水平。Objective To investigate the effects of nursing model based on family empowerment combined with individualized nutritional diet management on dietary behavior and self-care ability of patients with gestational diabetes mellitus.Methods A total of 80 patients with gestational diabetes mellitus admitted from November 2021 to December 2022 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing model based on family empowerment combined with individualized nutritional diet management on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of dietary knowledge,dietary plan and dietary compliance in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of fasting plasma glucose(FPG),glycosylated hemoglobin(HbA1c)and low density lipoprotein-cholesterol(LDL-C)in the observation group were lower than those in the control group,and the level of high density lipoprotein-cholesterol(HDL-C)was higher than that in the control group(P<0.05).Conclusion Nursing model based on family empowerment combined with individualized nutritional diet management applied in the nursing of patients with gestational diabetes mellitus can not only improve their dietary behavior and enhance self-care ability,but also effectively regulate the level of glucose and lipid metabolism.

关 键 词：基于家属赋权的护理模式 个体化营养膳食管理 妊娠期糖尿病 膳食行为 自我护理能力 

分 类 号：R473[医药卫生—护理学]