饮食干预联合运动指导对妊娠期糖尿病患者血糖水平与生活质量的影响

Effect of Dietary Intervention Combined with Exercise Instruction on Blood Glucose Level and Quality of Life in Patients with Gestational Diabetes Mellitus

目的 探讨对妊娠期糖尿病患者给予饮食干预联合运动指导后对其血糖水平以及生活质量等产生的影响。方法 选取2020年3月—2022年1月江门市人民医院收治的妊娠期糖尿病患者81例为研究对象,采用数字奇偶法分组,参照组40例接受常规干预,研究组41例接受饮食干预联合运动指导。比较两组患者的家庭功能评分(情感反映、沟通以及角色)、生活质量评分(情感职能、生理职能、社会功能、精神健康、总体健康)以及血糖指标(空腹血糖、餐后2 h血糖、糖化血红蛋白)水平。结果 治疗后,研究组情感反映(8.65±0.85)分、沟通(10.83±1.09)分以及角色(16.29±1.76)分均较参照组更低,差异有统计学意义(P<0.05);研究组情感职能(73.66±15.29)分、生理职能(68.66±5.25)分、社会功能(77.22±5.22)分、精神健康(69.52±5.25)分、总体健康(56.29±5.49)分均高于参照组,差异有统计学意义(P<0.05);研究组空腹血糖(5.15±0.43)mmol/L、餐后2 h血糖(9.42±1.02)mmol/L以及糖化血红蛋白(5.63±0.49)%均低于参照组,差异有统计学意义(P<0.05)。结论饮食干预+运动指导较常规干预可显著改善妊娠期糖尿病患者家庭功能、生活质量以及血糖水平。

Objective To explore the effects on blood glucose level and quality of life of patients with gestational diabetes mellitus after giving diet intervention combined with exercise guidance intervention.Methods A total of 81 patients with gestational diabetes mellitus admitted to Jiangmen People’s Hospital from March 2020 to January 2022were selected for the study. The number parity method was used to group 40 cases who received conventional intervention as the reference group and 41 cases who received diet intervention combined with exercise guidance intervention as the study group. The family functioning scores(emotional reflection, communication, and role), quality of life scores(emotional functioning, physical functioning, social functioning, mental health, and general health), and blood glucose index(fasting glucose, 2 h postprandial glucose, and glycosylated hemoglobin) levels were compared between the two groups.Results After treatment, the emotional reflection(8.65±0.85) points, communication(10.83±1.09) points, and role(16.29±1.76) points of the study group were lower than those in the reference group, and the differences were statistically significant(P<0.05). The emotional function(73.66±15.29) points, physical function(68.66±5.25) points, social function(77.22±5.22) points, mental health(69.52±5.25) points, and general health(56.29±5.49) points in the study group were higher than those in the reference group, and the differences were statistically significant(P<0.05).And the fasting blood glucose(5.15±0.43) mmol/L, 2 h postprandial blood glucose(9.42±1.02) mmol/L and glycosylated hemoglobin(5.63±0.49) % after treatment in the study group were lower than those in the reference group, and the differences were statistically significant(P<0.05).Conclusion The dietary intervention combined with exercise guidance intervention compared to conventional interventions resulted in significant improvements in family functioning, quality of life, and blood glucose levels in patients with gestational diabetes.