时效性激励护理联合远程护理在妊娠糖尿病患者中的应用效果  

Application effect of timeliness incentive nursing combined with remote nursing in patients with gestational diabetes mellitus

作　　者：陈红丽 吕红霞 CHEN Hongli;LYU Hongxia(Department of Obstetrics,Heze Maternal and Child Health Care H ospital,Shandong Province,Heze 274000,China)

机构地区：[1]山东省菏泽市妇幼保健院产科,山东菏泽274000

出　　处：《妇儿健康导刊》2025年第8期160-164,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨时效性激励护理联合远程护理在妊娠糖尿病患者中的应用效果。方法选取菏泽市妇幼保健院2022年1月至2023年9月收治的98例妊娠糖尿病患者,以随机数字表法分为A组与B组,各49例。A组实施远程护理,B组实施时效性激励护理联合远程护理。比较两组血糖水平、自护能力、护理依从性及不良母婴结局发生率。结果产前末次随访时,两组空腹血糖(FBP)、糖化血红蛋白(HbA1c)水平均较护理前下降,且B组FBG、HbA1c水平较A组低(P<0.05)。产前末次随访时,两组自我护理能力量表(ESCA)各维度评分及总分均较护理前高,且B组ESCA各维度评分及总分均较A组高(P<0.05)。B组护理依从性较A组高(P<0.05)。B组不良母婴结局总发生率较A组低(P<0.05)。结论妊娠糖尿病患者实施时效性激励护理联合远程护理可降低血糖水平,提升自护能力、护理依从性,改善母婴结局。Objective To explore the application effect of timeliness incentive nursing combined with remote nursing in patients with gestational diabetes mellitus.Methods A total of 98 patients with gestational diabetes mellitus admitted to Heze Maternal and Child Health Care Hospital from January 2022 to September 2023 were selected and divided into the group A and the group B using the random number table method,with 49 cases in each group.The group A received remote nursing,and the group B received timeliness incentive nursing combined with remote nursing.The blood glucose level,self-care ability,nursing compliance,and incidence of adverse maternal and infant outcomes were compared between the two groups.Results At the last prenatal follow-up,the levels of fasting blood glucose(FBP)and glycated hemoglobin(HbA1c)in both groups were decreased than before nursing,and the levels of FBG and HbA1c in the group B were lower than those in the group A(P<0.05).At the last prenatal follow-up,the each dimension score and total score of the exercise of self-care agency scale(ESCA)in both groups were higher than those before nursing,and the each dimension score and total score of ESCA in the group B were higher than those in the group A(P<0.05).The nursing compliance of the group B was higher than that of the group A(P<0.05).The total incidence of adverse maternal and infant outcomes in the group B was lower than that in the group A(P<0.05).Conclusion Timeliness incentive nursing combined with remote nursing for patients with gestational diabetes mellitus can reduce blood glucose level,improve self-care ability,nursing compliance,and mater nal and infant outcomes.

关 键 词：时效性激励护理 远程护理 妊娠糖尿病 

分 类 号：R473.71[医药卫生—护理学]