首页|5A护理对妊娠期糖尿病孕妇血糖控制效果、心理状态和母婴结局影响分析

5A护理对妊娠期糖尿病孕妇血糖控制效果、心理状态和母婴结局影响分析

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目的:观察5A护理对妊娠期糖尿病孕妇血糖控制效果、心理状态和母婴结局影响。方法:选取2021年1月至2023年12月本院诊治的330例妊娠期糖尿病孕妇为观察对象,根据护理方案划分为两组,其中对照组采用常规护理,观察组在对照组基础上行5A护理,对比两组血糖控制效果、自我管理能力、心理状态评分和母婴结局的差异。结果:干预后,观察组干预后FPG、2hPG、HbA1c低于对照组(P<0。05),观察组SDSCA评分高于对照组(P<0。05),观察组SAS评分、SDS评分和PSRS评分低于对照组(P<0。05),观察组自然产率高于对照组,剖宫产率、不良新生儿率低于对照组(P<0。05)。结论:5A护理能够提高妊娠期糖尿病孕妇自我管理能力,提升血糖控制效果,促进产妇心理健康,降低不良母婴结局发生风险。
Effect of 5A Nursing on Blood Glucose Control,Psychological Status and Maternal and Infant Outcomes of Pregnant Women with Gestational Diabetes Mellitus
Objective:To observe the effect of 5A nursing on blood glucose control,psychological status and maternal and infant outcomes in pregnant women with gestational diabetes mellitus.Methods:330 cases of pregnant women with gestational diabe-tes mellitus in our hospital from January 2021 to December 2023 were selected as the observation objects and divided into two groups according to the nursing scheme.The control group was treated with regular nursing,the observation group received 5 years of nursing on the basis of the control group,and the differences in blood glucose control effect,self-management ability,psychological status score and maternal and infant outcomes were compared between the two groups.Results:After the inter-vention,the FPG,2hPG and HbA1c of the observation group were lower than those of the control group(P<0.05),the SD-SCA score of the observation group was higher than that of the control group(P<0.05),the SAS score,SDS score and PSRS score were lower than those of the control group(P<0.05),the natural rate of the observation group was higher than that of the control group,the rate of cesarean section and the rate of adverse newborns were lower than those of the control group(P<0.05).Conclusion:5A nursing can improve the self-management ability of pregnant women with gestational diabetes mellitus,improve the effect of blood glucose control,promote the mental health of pregnant women,and reduce the risk of adverse mater-nal and infant outcomes.

5A nursingGestational diabetes mellitusBlood glucose controlMental healthMaternal and infant outcomes

安玉梅、安丽梅

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日照市中心医院门诊部,山东日照 276800

日照市中心医院健康管理科,山东日照 276800

5A护理 妊娠期糖尿病 血糖控制 心理健康 母婴结局

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(7)