孕期营养指导联合睡眠干预对妊娠期糖尿病孕妇血糖水平及睡眠质量的影响  

Effects of Prenatal Nutritional Guidance Combined with Sleep Intervention on Blood Glucose Levels and Sleep Quality in Pregnant Women with Gestational Diabetes

作　　者：陈伟凤 黄秋香 郑振兰 庄晓燕 CHEN Weifeng;HUANG Qiuxiang;ZHENG Zhenlan;ZHUANG Xiaoyan(Children′s Hospital of Quanzhou Maternal and Child Health Hospital,Quanzhou 362000,China;Quanzhou First Hospital,Quanzhou 362000,China;Xiamen Traditional Chinese Medicine Hospital,Xiamen 361000,China)

机构地区：[1]福建省泉州市妇幼保健院儿童医院,泉州362000 [2]泉州第一医院,泉州362000 [3]厦门市中医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第12期2743-2746,共4页World Journal of Sleep Medicine

摘　　要：目的:分析孕期营养指导联合睡眠干预对妊娠期糖尿病孕妇的干预效果。方法:选取2023年4月至2024年5月福建省泉州市妇幼保健院儿童医院收治的妊娠期糖尿病孕妇70例作为研究对象,按照随机数字表法分为对照组和观察组,每组35例。对照组给予常规护理干预,观察组给予孕期营养指导联合睡眠干预。采用阿森斯失眠量表(AIS)比较2组睡眠质量的差异,并比较2组孕妇的血糖水平变化及遵医行为的差异。结果:干预后,观察组空腹血糖、餐后2 h、糖化血红蛋白水平均显著低于对照组,观察组AIS评分显著低于对照组,观察组遵医行为比率显著高于对照组,差异均有统计学意义(均P<0.05)。结论:通过对妊娠期糖尿病孕妇实施孕期营养指导联合睡眠干预既有利于维持血糖稳定,提高遵医行为,又可以改善其睡眠质量,从而提升孕期的生命质量,值得推广。Objective:To analyze the effects of prenatal nutritional guidance combined with sleep intervention on pregnant women with gestational diabetes mellitus(GDM).Methods:A total of 70 pregnant women with GDM treated at Children′s Hospital of Quanzhou Maternal and Child Health Hospital from April 2023 to May 2024 were selected and randomly divided into a control group and an observation group,with 35 cases in each group.The control group received routine nursing care,while the observation group was provided with prenatal nutritional guidance combined with sleep intervention.The Athens Insomnia Scale(AIS)was used to assess sleep quality,and blood glucose levels as well as adherence to medical recommendations were compared between the two groups.Results:After the intervention,fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin levels in the observation group were significantly lower than those in the control group.AIS scores in the observation group were also significantly lower,and the adherence rate to medical recommendations was significantly higher compared to the control group,with all differences being statistically significant(P<0.05).Conclusion:Prenatal nutritional guidance combined with sleep intervention for pregnant women with GDM helps maintain stable blood glucose levels,improves adherence to medical recommendations,and enhances sleep quality,thereby improving the quality of life during pregnancy.This approach is worthy of promotion.

关 键 词：妊娠糖尿病 孕期营养指导 睡眠干预 睡眠质量 血糖水平 

分 类 号：R587.1[医药卫生—内分泌] R338.63[医药卫生—内科学]