Application of Psychological Nursing Combined with Exercise Therapy in Nursing of Gestational Diabetes Mellitus and Its Influence on Blood Glu-cose
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目的 分析心理护理联合运动疗法在妊娠糖尿病护理中的应用及对血糖的影响.方法 选取2022年8月—2023年8月莒县人民医院产二科收治的98例妊娠糖尿病患者作为研究对象,依据随机数表法分为观察组(n=49)、对照组(n=49).对照组给予患者常规护理,观察组予以患者心理护理联合运动疗法,比较两组的血糖水平、生活质量(Quality of Life Comprehensive Rating Scale-74,GQOL-74)评分、焦虑抑郁状态.结果 护理后,与对照组相比,观察组GQOL-74评分明显较高,抑郁、焦虑状态评分下降,空腹血糖(Fasting Plasma Glucose,FPG)、餐后2 h血糖(2-hour Postprandial Plasma Glucose,2 hPG)、糖化血红蛋白(Glycosylated Hemo-globin A1c,HbA1c)得到显著改善,差异有统计学意义(P均<0.05).结论 心理护理联合运动疗法可以对妊娠糖尿病的护理和血糖控制产生积极的影响.通过心理护理的支持,患者可以更好地理解和接受疾病,减少焦虑和压力对血糖的影响.
Objective To analyze the application of psychological nursing combined with exercise therapy in gesta-tional diabetes care and its influence on blood glucose.Methods A total of 98 patients with gestational diabetes melli-tus admitted to the Department of Obstetrics and Gynecology Ⅱ of Juxian County People's Hospital from August 2022 to August 2023 were selected as the study objects,and were divided into observation group(n=49)and control group(n=49)according to random number table method.Patients in the control group were given routine nursing,and patients in the observation group were given psychological nursing combined with exercise therapy.The blood glucose level,Quality of Life Comprehensive Rating Scale-74(GQOL-74)score,anxiety and depression status of the two groups were compared.Results After nursing,compared with the control group,the GQOL-74 score of the observation group was significantly higher,and the depression and anxiety scores were decreased.The fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2 hPG),glycosylated hemoglobin A1c(HbA1c)was significantly improved,and the differences were statistically significant(all P<0.05).Conclusion Psychological nursing combined with exercise therapy can have a positive impact on the care and blood glucose control of gestational diabetes mellitus.Through the support of psychological care,patients can better understand and accept the disease,reduce the impact of anxiety and stress on blood sugar.
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