首页|持续性4C管理对孕早期糖耐量异常患者糖控制水平、健康行为、自我护理能力、心理状态、母婴妊娠结局的影响

持续性4C管理对孕早期糖耐量异常患者糖控制水平、健康行为、自我护理能力、心理状态、母婴妊娠结局的影响

Effects of Continuous 4C Management on Glucose Control Level,Health Behavior,Self-care Ability,Mental State,Maternal and Infant Pregnancy Outcomes in Patients with Impaired Glucose Tolerance in Early Pregnancy

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  • 维普
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目的 探讨持续性4C管理对孕早期糖耐量异常(IGT)患者糖控制水平、健康行为、自我护理能力、心理状态、母婴妊娠结局的影响.方法 选取郑州市妇幼保健院2021年01月～2022年12月收治的98例孕早期IGT患者,根据入院顺序分为常规组(49例)和4C管理组(49例).常规组采用常规护理服务,4C管理组在常规基础护理服务基础上采用持续性4C管理服务.干预后,比较两组血糖控制水平[空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)]、健康行为、自我护理能力、心理状态(焦虑、抑郁)、母婴妊娠结局.结果 干预后,4C管理组FBG、2hPG、HbA1c水平均低于常规组(P＜0.05);4C管理组HPLP-Ⅱ评分、ESCA评分均高于常规组、SAS评分、SDS评分均低于常规组(P＜0.05);4C管理组早产、剖宫产、巨大儿发生率分别为 6.12％、8.16％、4.08％,均低于常规组的 22.45％、32.65％、20.41％(P＜0.05).结论 持续性4C管理可有效调节孕早期IGT患者机体血糖水平,提升其健康行为及自护能力,缓解其焦虑、抑郁情绪,促进其妊娠结局改善.
Objective To study the effects of continuous 4C management on glucose control level,health behavior,self-care ability,mental state,maternal and infant pregnancy outcomes in patients with impaired glucose tolerance(IGT)in early pregnancy.Methods A total of 98 patients with IGT in early pregnancy in Zhengzhou Maternity and Child Health Hospital from January 2021 to December 2022 were selected and divided into routine group(49 cases)and 4C management group(49 cases)according to the order of admission.The routine group received routine basic nursing services,and the 4C management group received continuous 4C management services.After the intervention,blood glucose control levels[fasting blood glucose(FBG),2h postprandial blood glucose(2h PG),glycosylated hemoglobin(HbA1c)],healthy behavior,self-care ability,mental state(anxiety,depression),maternal and infant pregnancy outcome were compared between the routine group and 4C management group.Results After the intervention,the levels of FBG,2h PG and HbA1c in the 4C management group were lower than those in the routine group(P＜0.05);the HPLP-Ⅱ score and ESC A score in the 4C management group were higher than those in the routine group,the SAS score and SDS score were lower than those in the routine group(P＜0.05);the incidence rates of preterm birth,cesarean section and macroia in 4C management group were 6.12％,8.16％and 4.08％,respectively,which were lower than those in routine group 22.45％,32.65％and 20.41％(P＜0.05).Conclusions The continuous 4C management can effectively regulate the blood glucose level of IGT patients in early pregnancy,improve their healthy behavior and self-care ability,relieve their anxiety and depression,and promote the improvement of their pregnancy outcome.

Continuous 4C managementImpaired glucose toleranceBlood glucose control lev-elsHealthy behavior

温朝阳、庞丽娟、陈晓莉

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郑州市妇幼保健院秦岭院区产科六区,河南郑州 450000

持续性4C管理 糖耐量异常 血糖控制水平 健康行为

2024

航空航天医学杂志
中航工业哈尔滨二四二医院

航空航天医学杂志

影响因子：0.69
ISSN：2095-1434
年,卷(期)：2024.35(11)