基于群组化保健模式在孕中期高龄妊娠期糖尿病孕妇中的应用及对妊娠结局的影响  

The application of group-based health care model on the elderly pregnant women with gestational diabetes in the middle trimester and its impact on pregnancy outcome

作　　者：邓聪 Deng Cong(Department of Obstetrics,Xuzhou Maternal and Child Health Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市妇幼保健院产科,江苏徐州221000

出　　处：《实用妇科内分泌电子杂志》2024年第21期117-120,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨基于群组化保健模式对孕中期高龄妊娠期糖尿病孕妇的效果及对妊娠结局的影响。方法选取300例于本院建卡并规律产检的高龄妊娠期糖尿病孕妇,根据随机数字表法分为两组,每组150例。对照组采用常规的孕期保健模式,观察组采用基于群组化保健模式。比较两组干预前后的血糖水平、心理状态、妊娠不良结局发生率及新生儿不良结局发生率。结果干预后,观察组的空腹血糖、餐后2 h血糖及糖化血红蛋白水平均较对照组低(P<0.05)。干预后,观察组的焦虑、抑郁评分均低于对照组(P<0.05)。干预后,观察组的妊娠不良结局发生率、新生儿不良结局发生率均较对照组低(P<0.05)。结论在孕中期高龄妊娠期糖尿病孕妇中使用基于群组化保健模式可降低血糖水平,改善孕妇的心理状态,降低妊娠不良结局和新生儿不良结局发生率。Objective To explore the effect of group-based health care model on the elderly pregnant women with gestational diabetes in the middle trimester and the impact of pregnancy outcome.Methods 300 elderly pregnant women with diabetes in pregnancy who had established cards in our hospital and had regular prenatal examination were selected and randomly divided into two groups according to random number table method,with 150 cases in each group.The control group adopted the conventional prenatal care mode,while the observation group adopted the group-based health care mode.The blood glucose level,psychological status,incidence of adverse pregnancy outcome,and incidence of adverse neonatal outcome before and after intervention were compared between the two groups.Results After intervention,the fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin levels in the observation group were lower than those in the control group(P<0.05).After intervention,the anxiety and depression scores of the observation group were lower than those of the control group(P<0.05).The incidence of adverse pregnancy outcome and adverse neonatal outcome in the observation group after intervention was lower than those in the control group(P<0.05).Conclusion The use of group-based health care model in elderly pregnant women with gestational diabetes in the second trimester can reduce the level of blood glucose,improve the psychological state of pregnant women,and reduce the incidence of adverse pregnancy outcome and adverse neonatal outcome.

关 键 词：群组化保健模式 妊娠期糖尿病 血糖水平 心理状态 妊娠结局 不良结局 

分 类 号：R473.71[医药卫生—护理学]