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作 者:黄尚红 黄招香 谢陈香 HUANG Shang-hong;HUANG Zhao-xiang;XIE Chen-xiang(Department of Obstetrics and Gynecology,Yudu County People's Hospital,Ganzhou 342300,China)
出 处:《四川解剖学杂志》2024年第5期85-88,共4页Sichuan Journal of Anatomy
摘 要:目的:探讨丈夫参与式责任亲情交互教育配合个体化孕期营养指导在妊娠期糖尿病患者中的应用效果.方法:选取2022 年1 月至2023 年11 月本院收治的62 例妊娠期糖尿病患者为研究对象.根据护理方式,将其分为观察组(n=31,采用丈夫参与式责任亲情交互教育配合个体化孕期营养指导)和对照组(n=31,采用常规护理).比较两组患者分娩方式、孕期增长体重、新生儿出生时体重、血糖指标[空腹血糖(FBG)、糖化血红蛋白(HbA1c)水平]以及母婴不良结局发生情况.结果:护理后,观察组患者顺产率高于对照组,差异有统计学意义(P<0.05);观察组患者孕期增长体重、新生儿出生时体重均低于对照组,差异均有统计学意义(P<0.05);观察组患者FBG、HbA1c水平均低于对照组,差异均有统计学意义(P<0.05);两组患者产后出血、胎儿宫内受限、新生儿窒息发生率比较,差异均无统计学意义(P>0.05).结论:丈夫参与式责任亲情交互教育配合个体化孕期营养指导可以提高妊娠期糖尿病患者的顺产率,降低患者孕期增长体重和新生儿出生时体重,改善患者血糖指标.Objective:To explore application effect of husband-participation responsibility family interaction education combined with individualized nutrition guidance during pregnancy in patients with gestational diabetes mellitus.Methods:A total of 62 patients with gestational diabetes mellitus admitted to our hospital from January 2022 to November 2023 were selected as the study subjects.According to the nursing mode,they were divided into observation group(n=31,received husband-participation responsibility family interaction education combined with individualized nutrition guidance)and control group(n=31,received routine nursing).The mode of delivery,pregnancy weight gain,neonatal weight,blood glucose indexes[fasting blood glucose(FBG),hemoglobin Alc(HbAlc)levels]and the occurrence of adverse maternal and infant outcomes were compared between the two groups.Results:After nursing,the rate of normal delivery in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The pregnancy weight gain and neonatal weight in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The levels of FBG and HbAlc in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postpartum hemorrhage,fetal intrauterine restriction and neonatal asphyxia between the two groups(P>0.05).Conclusion:Husband-participation responsibility family interaction education combined with individualized nutrition guidance during pregnancy can increase normal delivery rate,reduce weight gain during pregnancy and neonatal weight,and improve blood glucose indexes in pregnant women with gestational diabetes mellitus.
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