摘要
目的探讨时效性激励护理配合个体化医学营养指导在妊娠期糖尿病(GDM)孕妇中的应用效果。方法选取2022年5月-2023年5月我院诊治的80例GDM孕妇为研究对象,按随机数字表法将其分为对照组和观察组,各40例。对照组实施个性化医学营养指导,观察组在对照组基础上给予时效性激励护理,两组均干预4周。比较两组治疗依从性、血糖水平、自护能力、妊娠结局。结果观察组治疗总依从率为95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05)。干预后,观察组空腹血糖、餐后2 h血糖水平均低于对照组,健康知识水平、自我概念、自护技能和自我责任感评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组剖宫产率、妊娠期并发症率均低于对照组,组间差异有统计学意义(P<0.05)。结论时效性激励护理配合个体化医学营养指导能够提高GDM孕妇依从性及自护能力,有效控制其血糖水平,降低不良妊娠结局发生率。
Objective To explore the effect of time effective incentive nursing combined with individualized medical nutrition guidance in pregnant women with diabetes mellitus(GDM).Methods 80 GDM pregnant women diagnosed and treated in our hospital from May 2022 to May 2023 were selected as the research objects and they were randomly divided into a control group and an observation group,with 40 patients in each group.The control group received personalized medical nutrition guidance,while the observation group received timely incentive nursing on the basis of the control group.Both groups were intervened for 4 weeks.Compare treatment compliance,blood glucose levels,self-care ability,and pregnancy outcomes between two groups.Results The total compliance rate of the observation group was 95.00%,which was higher than 77.50%of the control group,and the difference was statistically significant(P<0.05).After intervention,the FPG and 2-hour PG levels in the observation group were lower than those in the control group,and the scores of health knowledge,self-concept,self-care skills,and sense of responsibility in the observation group were higher than those in the control group,and the differences between groups were statistically significant(P<0.05).The cesarean section rate and pregnancy complications rate in the observation group were lower than those in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Timely incentive nursing combined with individualized medical nutrition guidance can improve the compliance and self-care ability of GDM pregnant women,effectively control their blood sugar levels,and reduce the incidence of adverse pregnancy outcomes.
作者
乔英乔
董青青
商云雁
QIAO Yingqiao;DONG Qingqing;SHANG Yunyan(Department of Obstetrics,Affiliated Hospital of Binzhou Medical College,Binzhou Shandong,256600,China)
出处
《反射疗法与康复医学》
2023年第21期177-180,共4页
Reflexology And Rehabilitation Medicine
关键词
妊娠期糖尿病
时效性激励护理
个体化医学营养指导
依从性
血糖水平
妊娠结局
Diabetes in pregnancy
Timely incentive nursing
Individualized medical nutrition guidance
Compliance
Blood sugar levels
Pregnancy outcome
