采用综合营养管理的干预模式对妊娠期糖尿病患者糖脂代谢及妊娠结局的影响研究
Effect of intervention model based on comprehensive nutrition management on glucose and lipid metabolism and pregnancy outcome of gestational diabetes mellitus patients
张晨霞 1晋聪聪 1尉小芳 1崔献梅 2陈晓琴 1刘师伟1
作者信息
- 1. 山西白求恩医院山西医学科学院山西同济医院山西医科大学第三医院内分泌科,太原 030032
- 2. 山西白求恩医院山西医学科学院山西同济医院山西医科大学第三医院妇产科,太原 030032
- 折叠
摘要
目的 探讨采用综合营养管理的干预模式对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者糖脂代谢及妊娠结局的影响.方法 选取2022年2月至2023年3月山西白求恩医院收治的104例GDM患者,依照随机数字表法分为对照组和试验组,每组各52例.对照组实施住院常规管理措施与营养指导,试验组在常规管理基础上实施采用综合营养管理的干预模式.比较干预前后两组的糖脂代谢指标(糖化血红蛋白、空腹血糖、餐后2 h血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇)、妊娠结局情况、自我管理能力及自我效能指标.结果 干预前两组一般情况、糖脂代谢指标、自我管理能力、自我效能等差异无统计学意义(P＞0.05);干预后,试验组糖脂代谢指标水平明显低于对照组,差异有统计学意义(P＜0.05);试验组不良妊娠结局发生率明显低于对照组,差异有统计学意义(P＜0.05);试验组自我管理能力及自我效能评分明显高于对照组,差异有统计学意义(P＜0.05).结论 基于综合营养管理的干预模式可有效改善GDM患者的糖脂代谢指标及妊娠结局,显著提高患者营养管理相关自我管理能力与效能感,具有较高的临床应用及推广价值.
Abstract
Objective To explore the effect of intervention model based on comprehensive nutrition management on glucose and lipid metabolism and pregnancy outcome in patients with gestational diabetes mellitus(GDM).Methods 104 GDM patients admitted to Shanxi Bethune Hospital from February 2022 to March 2023 were randomly divided into control group and experimental group,with 52 cases in each group.The control group implemented routine management measures and nutrition guidance,while the experimental group implemented an intervention model based on comprehensive nutrition management on the basis of routine management.The indexes of glucose and lipid metabolism(glycosylated hemoglobin,fasting blood glucose,2 h postprandial blood glucose,total cholesterol,triglyceride and low density lipoprotein cholesterol),pregnancy outcome,self-management ability and self-efficacy were compared between the two groups before and after intervention.Results Before the intervention,there was no significant difference in general situation,glucose and lipid metabolism index,self-management ability and self-efficacy between the two groups(P＞0.05).After the intervention,the level of glucose and lipid metabolism index in the experimental group was significantly lower than that in the control group,with statistical significance(P＜0.05).The incidence of adverse pregnancy outcome in the experimental group was significantly lower than that in the control group,with statistical significance(P＜0.05).The scores of self-management ability and self-efficacy in the experimental group were significantly higher than those in the control group,with statistical significance(P＜0.05).Conclusion The intervention model based on comprehensive nutrition management can effectively improve the glucose and lipid metabolism index and pregnancy outcome of GDM patients,and significantly improve their self-management ability and self-efficacy related to nutrition management,which has high clinical application and promotion value.
关键词
妊娠期糖尿病/综合营养管理/营养干预/糖脂代谢/妊娠结局Key words
Gestational diabetes mellitus/Integrated nutrition management/Nutrition intervention/Glucose and lipid metabolism/Pregnancy outcome引用本文复制引用
基金项目
内分泌代谢病山西省重点实验室项目(202104010910009)
出版年
2024
NETL
NSTL
万方数据