5A护理模式在妊娠期糖尿病孕妇血糖管理院外指导中的应用
Application of 5A Nursing Model in External Guidance of Blood Glucose Management for Perinatal Pregnant Women
袁桂花1
作者信息
- 1. 733100 甘肃 武威,古浪县妇幼保健院
- 折叠
摘要
目的 探讨5A护理模式在妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇血糖管理院外指导过程中,对血糖、心理弹性和自护能力的影响.方法 将2020年1月—2023年12月古浪县妇幼保健计划生育服务中心接诊的100例GDM孕妇作为研究对象,随机分为对照组和干预组各50例,分别进行常规院外管理和基于5A护理模式的院外管理,并比较不同干预模式对孕妇血糖、心理弹性和自护能力的影响.结果 干预后,两组孕妇空腹血糖、餐后2 h血糖、糖化血红蛋白水平和Connor-Davidson心理弹性量表、自我护理测定量表各条目及总分差异有统计学意义(P＜0.05).结论 将5A护理模式应用于GDM孕妇的院外管理过程中,能够提高血糖控制效果,并改善心理弹性和自护能力.
Abstract
Objective To explore the influence of 5A nursing mode on blood sugar,psychological resilience and self-care ability in the process of out of hospital guidance of glucose management for pregnant women with gestational diabetes(GDM).Methods One hundred pregnant women with GDM who were treated at Maternal and Child Health Hospital of Gulang County from January 2020 to December 2023 were selected as the research subjects.They were randomly divided into a control group and an intervention group,with 50 cases in each group.Routine out of hospital management and out of hospital management based on the 5A nursing model were conducted,and the effects of different intervention models on pregnant women's blood sugar,psychological resilience,and self-care ability were compared.Results After intervention,there was a statistically significant difference in fasting plasma glucose,2-hour postprandial blood glucose,glycated hemoglobin A1c levels,as well as various items and total scores of Connor-Davidson resilience scale and exercise of self-care agency scale between the two groups of pregnant women(P<0.05).Conclusion Applying the 5A nursing model to the outpatient management process of GDM pregnant women can improve blood sugar control effectiveness,as well as improve psychological resilience and self-care ability.
关键词
5A护理/糖尿病/妊娠/围产期/血糖/心理弹性/自护能力Key words
5A Nursing/Diabetes/Pregnancy/Perinatal Period/Blood Sugar/Psychological Resilience/Self-Care Ability引用本文复制引用
出版年
2024
NETL
NSTL
万方数据