摘要
目的:探讨心理护理、饮食护理及运动疗法对妊娠期糖尿病(GDM)患者血糖控制水平、心理状况及妊娠结局的影响。方法:选取120例妊娠期糖尿病患者作为研究对象,所有病例均来源于2016年8月-2017年8月杭州市第一人民医院,符合纳入标准,将其随机、均等分为研究组(n=60)和对照组(n=60),对照组实施常规护理,研究组则在此基础上联合应用心理护理、饮食护理及运动疗法,干预前、后测量两组患者的空腹血糖、餐后2h血糖、糖化血红蛋白水平,以焦虑、抑郁量表(SAS、SDS)评价患者的心理状态,评价分娩结局(巨大儿、早产儿、新生儿窒息;剖宫产、产后出血、子痫前期),并对上述指标进行统计学软件对比。结果:(1)干预前,两组患者的空腹血糖、餐后2h血糖及糖化血红蛋白水平差异无统计学意义(P>0.05);干预后,研究组上述血糖指标均低于对照组(P<0.05);(2)干预前,两组患者的SAS、SDS评分差异无统计学意义(P>0.05);干预后,研究组SAS、SDS评分均低于对照组(P<0.05);(3)研究组母婴结局优于对照组(P<0.05)。结论:心理护理、饮食护理及运动疗法应用于妊娠期糖尿病患者,可有效控制血糖水平,改善心理状态及妊娠结局。
Objective To investigate the effects of psychological nursing,dietary nursing and exercise therapy on glycemic control,psychological status and pregnancy outcome of gestational diabetes mellitus( GDM) patients. Methods One hundred and twenty cases of GDM were enrolled in this study. All the cases were from the First Peoples Hospital of Hangzhou City treated from August 2016 to August 2017. The patients were randomly assigned into study group( n = 60) and control group( n = 60). The control group received routine nursing,while the study group received a combination of psychological nursing,dietary nursing and exercise therapy on the basis of routine nursing. Before and after the intervention,the fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels were measured,psychological stateof patients was evaluated byanxiety and depression scales( SAS,SDS),and delivery outcomes were assessed including macrosomia,premature,neonatal asphyxia,cesarean section,postpartum hemorrhage,and preeclampsia. The above-mentioned indicators were compared by statistical software. Results( 1) Before intervention,there were no significant differences in fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin between the two groups( P > 0. 05); after intervention,the abovementioned blood glucose indexes of the study group were lower than those of the control group( P < 0. 05).( 2) There were no significant differences in SAS and SDS scores between the two groups before intervention( P > 0. 05). After intervention,SAS and SDS scores of the study group were lower than those of the control group( P < 0. 05).( 3) The delivery outcomes in the study group was better than those of the control group( P < 0. 05). Conclusions Psychological nursing,dietary nursing and exercise therapy in GDM patients can effectively control the patients blood glucose levels,improve their psychological status and delivery outcomes.
作者
葛华英
孔利萍
吴晓
李修英
张晓庆
GE Hua-ying;KONG Li-ping;WU Xiao;LI Xiu-ying;ZHANG Xiao-qing(The First People's Hospital,Hangzhou,Zhefiang 310003,China)
出处
《中国农村卫生事业管理》
2018年第11期1478-1481,共4页
Chinese Rural Health Service Administration
关键词
心理护理
饮食护理
运动疗法
妊娠期糖尿病
妊娠结局
psychological nursing
dietary,nursing
exercise therapy
gestational diabetes mellitus
delivery outcome
