首页|系统化健康教育联合个体化营养管理在妊娠期糖尿病患者药物治疗期间的效果观察

系统化健康教育联合个体化营养管理在妊娠期糖尿病患者药物治疗期间的效果观察

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目的:探讨系统化健康教育联合个体化营养管理对妊娠期糖尿病(GDM)患者胰岛素注射依从性的影响.方法:选择 2020 年 9 月—2022 年 10 月平顶山市第一人民医院收治的 112 例GDM患者作为研究对象,使用随机数字表将其分为研究组和对照组,每组 56 例.两组均接受GDM的一般常规治疗,给予对照组常规健康教育联合个体化营养管理,研究组采取系统化健康教育联合个体化营养管理,比较两组血糖控制情况、胰岛素注射依从性,并随防至妊娠,比较两组妊娠期并发症情况.结果:两组干预后血糖控制情况明显改善,且研究组FPG、2hPBG均低于对照组(P<0.05);研究组胰岛素注射依从率高于对照组(P<0.05);研究组妊娠期并发症发生率小于对照组(P<0.05).结论:系统化健康教育联合个体化营养管理能改善妊娠期糖尿病患者血糖指标,对提高患者胰岛素注射依从性以及减少妊娠期并发症均有积极的作用.
Observation on the Effect of Systematic Health Education Combined with Individualized Nutrition Management in Patients with Gestational Diabetes Mellitus During Drug Treatment
Objective:To explore the effect of systematic health education combined with individualized nutrition management on insulin injection compliance in patients with gestational diabetes mellitus(GDM).Methods:A total of 112 GDM patients admitted to the Pingdingshan First People's Hospital from September 2020 to October 2022 were selected as the research objects,and they were divided into study group and control group by random number table,with 56 patients in each group.Both groups received general routine treatment of GDM.The control group was given routine health education combined with individualized nutrition management,while the study group was given systematic health education combined with individualized nutrition management.The blood glucose control and insulin injection compliance of the two groups were compared,and the pregnancy complications of the two groups were compared.Results:The blood glucose control of the two groups was significantly improved after intervention,and the FPG and 2 hPBG in the study group were lower than those in the control group(P<0.05).The compliance rate of insulin injection in the study group was higher than that in the control group(P<0.05).The incidence of pregnancy complications in the study group was lower than that in the control group(P<0.05).Conclusion:Systematic health education combined with individualized nutrition management can improve the blood glucose index of patients with gestational diabetes,and has a positive effect on improving the compliance of insulin injection and reducing the complications of pregnancy.

Systematic health educationIndividualized nutrition managementGestational diabetes mellitusInsulinCompliance

王自苗、黄丽君、赵亚辉、李代红

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平顶山市第一人民医院特需产科一病区,河南 平顶山 467000

系统化健康教育 个体化营养管理 妊娠期糖尿病 胰岛素 依从性

河南省医学科技攻关计划联合共建项目

LHGJ20200911

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(7)