饮食及运动指导联合延续性护理服务对妊娠期糖尿病患者母婴结局的研究
Study on the Effect of Diet and Exercise Guidance Combined with Con-tinuous Nursing Service on Maternal and Infant Outcomes in Patients with Gestational Diabetes Mellitus
陈丽颜 1邹小宝 1张燕玲 1梁亚霞1
作者信息
- 1. 茂名市妇幼保健院产房,广东 茂名 525000
- 折叠
摘要
目的 探究饮食及运动指导联合延续性护理服务对妊娠期糖尿病患者母婴结局的影响.方法 选取2022年5月—2023年10月茂名市妇幼保健院收治的162例妊娠期糖尿病患者为研究对象,以护理方法的不同分为研究组(82例)与对照组(80例).对照组接受常规护理干预,研究组在对照组基础上接受饮食及运动指导联合延续性护理服务干预.比较两组血糖水平、体重以及母婴不良结局发生情况.结果 干预后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P均<0.05).干预后,研究组每周体重增长以及分娩时体重均低于对照组,差异有统计学意义(P均<0.05).研究组巨大儿发生率低于对照组,差异有统计学意义(P<0.05).两组产后出血、低体重儿发生率比较,差异无统计学意义(P均>0.05).结论 针对妊娠期糖尿病患者给予饮食及运动指导联合延续性护理服务干预措施可有效控制孕妇血糖水平和体重,减少母婴不良结局发生.
Abstract
Objective To explore the effect of diet and exercise guidance combined with continuous nursing service on maternal and infant outcomes in patients with gestational diabetes mellitus.Methods A total of 162 patients with gestational diabetes mellitus admitted to Maoming Maternal and Child Health Hospital from May 2022 to October 2023 were selected as the research objects.According to different nursing methods,they were divided into study group(82 cases)and control group(80 cases).The control group received routine nursing intervention,and the study group received diet and exercise guidance combined with continuous nursing service intervention on the basis of the control group.The blood glucose levels,body weight and adverse maternal and infant outcomes were compared between the two groups.Results After intervention,the levels of fasting blood glucose,2-hour postprandial blood glucose and glyc-cated hemoglobin A1c in the study group were lower than those in the control group,and the differences were statisti-cally significant(all P<0.05).After intervention,the weekly weight gain and weight at delivery of the study group were lower than those of the control group,and the differences were statistically significant(both P<0.05).The incidence of macrosomia in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postpartum hemorrhage and low birth weight infants be-tween the two groups(both P>0.05).Conclusion Diet and exercise guidance combined with continuous nursing ser-vice intervention for patients with gestational diabetes mellitus can effectively control the blood glucose level and weight of pregnant women and reduce the occurrence of adverse outcomes of mothers and infants.
关键词
妊娠期糖尿病/延续性护理服务/饮食及运动指导/母婴结局Key words
Gestational diabetes mellitus/Continuous nursing service/Diet and exercise guidance/Maternal and in-fant outcomes引用本文复制引用
出版年
2024
NETL
NSTL
万方数据