基于行动研究法的三位一体护理干预对妊娠期糖尿病患者围产结局及自我管理能力的影响  

Effect of Trinity Nursing Intervention based on action research method on perinatal outcome and self-management ability of patients with g:estational diabetes mellitus

作　　者：李晓慧 董茹霞 卢丹丹 唐赛楠 Li Xiaohui;Dong Ruxia;Lu Dandan;Tang Sainan(Department of Critical Care Medicine,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Neurology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第三附属医院重症医学科,郑州450000 [2]郑州大学第三附属医院神经内科,郑州450000

出　　处：《国际护理学杂志》2025年第5期839-844,共6页international journal of nursing

基　　金：河南省医学科技攻关联合共建项目(LHGJ20221018)。

摘　　要：目的:分析基于行动研究法的三位一体护理干预在妊娠期糖尿病(GDM)患者中的应用效果。方法:选取郑州大学第三附属医院2021年8月至2022年12月期间收治的GDM患者99例进行回顾性研究,其中2021年8月至2022年3月期间收治的49例为对照组,2022年4~12月期间收治的50例作研究组,其中对照组予以常规护理干预,研究组予以基于行动研究法的三位一体护理干预,两组均干预6周。观察两组健康知识掌握度、围产结局以及干预前后空腹血糖、餐后2 h血糖、汉密顿抑郁量表(HAMD)分值、妊娠相关焦虑量表(PAQ)分值、简化中文版分娩自我效能简易问卷(CBSEI-C32)分值、妊娠糖尿病患者自我管理能力问卷(SMQGDM)分值。结果:与对照组63.27%(31/49)相比,研究组健康知识掌握度84.00%(42/50)明显较高(P<0.05);两组干预后HAMD分值、PAQ分值低于干预前,研究组低于对照组(P<0.05);干预后两组SMQGDM、CBSEI-C32分值高于干预前,研究组高于对照组(P<0.05);干预后,两组空腹血糖、餐后2 h血糖低于干预前,且研究组低于对照组(P<0.05);研究组产妇妊娠并发症、围产儿不良结局发生率为6.00%(3/50)、2.00%(1/50),低于对照组28.57%(14/49)、24.49%(12/49)(P<0.05)。结论:基于行动研究法的三位一体护理干预在GDM患者中应用价值较高,可改善血糖水平与妊娠结局,减轻负面情绪,增强自我管理能力与自我效能感。Objective To analyze the application effect of Trinity Nursing Intervention based on action research method in patients with gestational diabetes mellitus(CDM).Methods A total of 99 patients with GDM admitted to the Third Affiliated Hospital of Zhengzhou University from August 2021 to December 2022 were selected for retrospective study,among which 49 patients admitted from August 2021 to March 2022 were the control group and 50 patients admitted from April 2022 to December 2022 were the study group.The control group was given routine nursing intervention,while the study group was given Trinity Nursing Intervention based on action research method.Both groups were intervened for 6 weeks.The mastery of health knowledge and perinatal outcomes of the two groups were observed,as well as the fasting blood glucose,2-hour postprandial blood glucose,scores of Hamilton Depression Scale(HAMD),Pregnancy-specific Anxiety Questionnaire(PAQ),simplified Chinese Brief Version of Childbirth Self-Efficacy Inventory(CBSEI-C32)and Self-Management Questionnaire for Gestational Diabetes Mellitus(SMQGDM)of the two groups before and after the intervention.Results Compared with the control group[63.27%(31/49)],the health knowledge of the study group[84.00%(42/50)] was significantly higher(P<0.05).After intervention,the scores of HAMD and PAQ in both groups were lower than those before the intervention,and the scores in the study group were lower than those in the control group(P<0.05).After intervention,the scores of SMQCDM and CBSEI-C32 in the two groups were higher than before intervention,and those in the study group were higher than those in the control group(P<0.05).After intervention,fasting blood glucose and 2-hour postprandial blood glucose in both groups were lower than before intervention,and the study group was lower than the control group(P<0.05).The rates of pregnancy complications and perinatal adverse outcomes in the study group were 6.00%(3/50)and 2.00%(1/50),which were lower than those in the control group[28.57%(14/49)and

关 键 词：行动研究法 三位一体 妊娠期糖尿病 自我管理 妊娠结局 

分 类 号：R47[医药卫生—护理学]