首页|接纳承诺护理疗法在改善妊娠糖尿病患者压力状况、应对方式与分娩结局的效果

接纳承诺护理疗法在改善妊娠糖尿病患者压力状况、应对方式与分娩结局的效果

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目的:探讨接纳承诺护理疗法在改善妊娠糖尿病患者压力状况、应对方式与分娩结局的效果。方法:于2022年1月至2023年1月,选取在本院接受治疗的妊娠糖尿病患者120例,根据护理方案不同将其分为两组(n=60)。其中,治疗组给予接纳承诺护理疗法,对照组给予常规护理,比较两组血糖代谢指标、知觉压力量表(PSS)评分,应对方式评分以及母婴结局。结果:护理干预前,两组血糖代谢指标比较无显著差异(P>0。05),经护理干预,血糖代谢指标两组均明显下降,治疗组显著更低(P<0。05);护理干预前,两组PSS得分比较(P>0。05),经护理干预,两组PSS得分均有所下降,治疗组明显低于对照组(P<0。05);护理干预前,两组应对方式评分比较(P>0。05),经护理干预,两组积极应对评分均有所上升、消极应对评分均有所下降,且治疗组积极应对评分高于对照组,消极应对评分低于对照组(P值均<0。05);与对照组相比,治疗组巨大儿、早产儿、新生儿低血糖发生率明显更低(P<0。05)。结论:接纳承诺护理疗法用于妊娠期糖尿病患者,可促使患者有效控制血糖水平,减轻心理压力,规避消极应对方式,促进其积极面对疾病,改善母婴结局。
Acceptance of the effect of promised nursing therapy in improving the stress status,coping styles and delivery outcomes of patients with gestational diabetes
Objective:To investigate the effectiveness of acceptance commitment care therapy in improving stress status,coping styles and birth outcomes in patients with gestational diabetes.Methods:From January 2022 to January 2023,120 patients with gestational diabetes mellitus treated in our hospital were selected and divided into two groups(n=60)according to different care regimens.Among them,the treatment group was given acceptance commitment nursing therapy and the control group was given conventional nursing care,comparing the glucose metabolic indexes,Perceptual Stress Scale(PSS)scores,coping style scores and maternal and infant outcomes between the two groups.Results:Before the nursing intervention,there was no signif-icant difference between the two groups in terms of glucose metabolic indexes(P>0.05),but after the nursing intervention,the glucose metabolic indexes decreased significantly in both groups,with the treatment group being significantly lower(P<0.05);Before nursing intervention,the coping style scores of the two groups were compared(P>0.05),after nursing inter-vention,the positive coping scores of both groups increased and the negative coping scores decreased,and the positive coping scores of the treatment group were higher than those of the control group and the negative coping scores were lower than those of the control group(both P values<0.05);compared with the control group,the incidence of gigantic babies,preterm babies and neonates with hypoglycaemia was significantly lower in the treatment group(P<0.05).Conclusion:Acceptance of com-mitment care therapy for patients with gestational diabetes can facilitate effective control of blood glucose levels,reduce psycho-logical stress,avoid negative coping,promote positive coping with the disease and improve maternal and infant outcomes,and is worthy of clinical promotion.

Acceptance commitment care therapygestational diabetesstresscoping stylesbirth outcomes

罗腾艳、樊莹

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榆阳区妇幼保健院群体保健科,陕西榆林 719000

接纳承诺护理疗法 妊娠糖尿病 压力 应对方式 分娩结局

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)