Effect of positive pressure intervention combined with early life intervention on blood glucose control and psychological stress of patients with gestational diabetes mellitus
Objective To study the effects of positive pressure combined with early life intervention on blood glucose control and psychological stress of patients with gestational diabetes mellitus(GDM).Methods A total of 98 patients with GDM admitted to our hospital from February 2019 to May 2021 were selected as the subjects of this study.They were randomly divided into control group and observation group,with 49 cases in each group.Patients in both groups were managed by routine nursing intervention,and those in the observation group were additionally given positive pressure intervention combined with early life intervention.The blood glucose control,psychological stress response and health behavior of the two groups were compared before intervention and 2 months after intervention.All patients were followed up until delivery,and the delivery mode and the incidence of adverse pregnancy outcomes were compared.Results After 2 months of intervention,the levels of fasting blood glucose(FPG),2h postprandial blood glucose(2hPG)and hemoglobin A1c(HbA1c)in the observation group were significantly lower than those of the control group(P<0.05).The Symptom Checklist-90(SCL-90)score in the observation group was significantly lower than that of the control group,and the Health-Promoting Lifestyle ProfileⅡ(HPLP-Ⅱ)score was significantly higher(P<0.05).Follow-up data showed that the incidence of cesarean section and vaginal delivery in the observation group was significantly lower than that in the control group,and the incidence of adverse pregnancy outcomes was also significantly lower(P<0.05).Conclusion Positive pressure intervention combined with early life intervention in GDM patients can effectively control blood glucose level,reduce the psychological stress response,promote the formation of healthy behavior,and improve the outcome of childbirth and pregnancy.
万方数据
维普
