马斯洛需要层次论下综合干预对妊娠期糖尿病患者妊娠结局的影响  

The effect of comprehensive intervention under Maslow's hierarchy of needs theory on pregnancy outcomes in patients with gestational diabetes mellitus

作　　者：吴凤华 郑小燕 杨小青 WU Fenghua;ZHENG Xiaoyan;YANG Xiaoqing(Department of Obstetrics and Gynecology,Nankang District,First Affiliated Hospital of Gannan Medical University(First People's Hospital of Nankang District,Ganzhou City),Ganzhou,Jiangxi,341400,China)

机构地区：[1]赣南医科大学第一附属医院南康院区/赣州市南康区第一人民医院妇产科,江西赣州341400

出　　处：《当代医学》2024年第22期172-175,共4页Contemporary Medicine

摘　　要：目的分析马斯洛需要层次论下综合干预对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者妊娠结局的影响。方法选取2021年4月至2023年4月赣州市南康区第一人民医院收治的100例GDM患者作为研究对象,随机分为对照组与观察组,每组50例。对照组采用常规护理方案,观察组采用马斯洛需要层次论下综合干预。比较两组妊娠期血糖水平、依从性优良率、护理满意度和妊娠结局。结果护理后,两组空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(postprandial 2 h blood glucose,2 h PBG)、糖化血红蛋白A1c(glycosylated hemoglobin A1c,HbA1c)水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组依从性优良率为96.00%,高于对照组的80.00%,差异有统计学意义(P<0.05);观察组护理总满意度为100.00%,高于对照组的82.00%,差异有统计学意义(P<0.05);观察组产妇结局不良发生率和新生儿结局不良发生率分别为8.00%、4.00%,均低于对照组的26.00%、22.00%,差异有统计学意义(P<0.05)。结论马斯洛需要层次论下综合干预更有利于改善GDM患者血糖水平,提升患者依从性和护理满意度,降低不良妊娠结局发生率,值得临床推广应用。Objective To analyze the effect of comprehensive intervention under Maslow's hierarchy of needs theory on pregnancy outcomes in patients with gestational diabetes mellitus(GDM).Methods A total of 100 patients with GDM who were admitted to Nankang District,First Affiliated Hospital of Gannan Medical University from April 2021 to April 2023 were selected as the research subjects,they were randomly divided into the control group and the observation group,with 50 cases in each group.The control group received standard nursing care,while the observation group underwent comprehensive intervention under Maslow's hierarchy of needs theory.The blood glucose level,compliance rate,nursing satisfaction and pregnancy outcome were compared between the two groups.Results After nursing,the levels of fasting plasma glucose(FPG),postprandial 2 h blood glucose(2 h PBG)and glycosylated hemoglobin A1c(HbA1c)of the two groups were lower than those before nursing,and the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The excellent and good rate of compliance in the observation group was 96.00%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction in the observation group was 100.00%,which was higher than 82.00%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse maternal outcomes and the incidence of adverse neonatal outcomes in the observation group were 8.00%and 4.00%,respectively,which were lower than 26.00%and 22.00%in the control group,the differences were statistically significant(P<0.05).Conclusion The comprehensive intervention under Maslow's hierarchy need theory can improve the blood glucose levels of GDM patients during pregnancy,improve the compliance behavior and nursing satisfaction of patients,and reduce the adverse pregnancy outcome,which is worthy of clinical promotion and application.

关 键 词：马斯洛需要层次论 妊娠期糖尿病 妊娠期血糖水平 依从性 护理满意度 妊娠结局 

分 类 号：R47[医药卫生—护理学]