综合性早期饮食宣教指导对高龄妊娠期糖尿病孕产妇的效果
Effectiveness of the comprehensive early dietary education and guidance on pregnant women at an advanced maternal age with gestational diabetes mellitus and the effect on pregnancy outcome
臧婷婷 1谷敏 1杜欣欣 2殷袁梅 1孙琳 3陈园园1
作者信息
- 1. 223800 江苏省宿迁市第一人民医院产科
- 2. 223800 江苏省宿迁市第一人民医院内分泌科
- 3. 223800 江苏省宿迁市第一人民医院门诊部
- 折叠
摘要
目的 观察综合性早期饮食宣教指导对高龄妊娠期糖尿病孕产妇的效果及对妊娠结局的影响效果.方法 选取2021年7月至2022年6月收治于宿迁市第一人民医院的高龄妊娠期糖尿病患者90例为研究对象.采用随机数字表法将90例高龄妊娠期糖尿病患者分为试验组和对照组,每组45例.对照组遵循妊娠期糖尿病常规宣教法施护,试验组在此基础之上引入综合性早期饮食宣教指导干预机制,对2组干预后的各观察指标进行比较.结果 试验组高龄妊娠期糖尿病患者饮食控制认知度评分、饮食控制依从性评分与对照组比较,差异均有统计学意义(P＜0.05),试验组血糖控制成效测评指标优于对照组,不良妊娠结局率低于对照组(P＜0.05).结论 采用综合性早期饮食宣教指导对高龄妊娠期糖尿病孕产妇施加干预,利于其饮食控制认知度、依从度的提升,可取得较佳血糖控制成效、减低不良妊娠结局概率.
Abstract
Objective To observe the effectiveness of the comprehensive early dietary education and guidance on pregnant women at an advanced maternal age with gestational diabetes mellitus(GDM)and the effect on pregnancy outcome.Methods Totally 90 pregnant women at an advanced maternal age with GDM treated in Suqian First Hospital from July 2021 to June 2022 were recruited.They were randomly divided into the experimental group(n= 45)and the control group(n=45).All patients were managed by routine education of GDM,and those in the experimental group additionally received the comprehensive early dietary education.Clinical indices after the intervention were compared between groups.Results There were significant differences in the scores of the cognition and compliance of diet controlling between groups(P＜0.05).Compared with those of the control group,the blood glucose index in the experimental group was significantly better,and the incidence of adverse pregnancy outcomes was significantly lower(P＜0.05).Conclusion For pregnant women at an advanced maternal age with GDM,the comprehensive early dietary education and guidance is helpful to improve cognition and compliance of diet controlling,effectively control blood sugar,and reduce the incidence of adverse pregnancy outcomes.
关键词
综合性护理/早期饮食宣教/高龄/妊娠期糖尿病/妊娠结局Key words
comprehensive nursing intervention/early diet education/advanced age/gestational diabetes mellitus/pregnancy outcome引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据