心理护理联合运动疗法对妊娠期糖尿病患者的临床疗效

Effect of psychological nursing combined with kinesitherapy on efficacy,psychological state and pregnancy outcome of GDM patients

目的探究心理护理联合运动疗法对妊娠期糖尿病(GDM)患者的的效果以及对心理状态及妊娠结局的影响。方法选取2015年7月~2016年7月收治的120例GDM患者临床资料进行分析,按照不同护理方式分为对照组(60例)与研究组(60例),对照组行常规护理加饮食疗法,研究组行心理护理加上运动疗法,观察两组血糖水平、心理状态与不良妊娠结局情况。结果研究组各时间段血糖水平均较对照组低(P<0.05),研究组与对照组护理前心理状态无显著差异(P>0.05),护理后研究组SDS、SAS评分均低于对照组(P<0.05),研究组不良妊娠结局总发生率较对照组显著低(P<0.05)。结论 GDM患者采取运动疗法和心理护理联合应用可有效控制产妇机体内血糖情况,缓解其心理不良情绪,降低不良妊娠发生率,具有临床推广和应用价值。

Objective To explore the curative effect of psychological nursing combined with kinesitherapy on efficacy, psychological state and pregnancy outcome of GDM Patients. Methods The clinical data of 120 patients with GDM who had been seeking treatment in the hospital between July 2015 and July 2016 were analyzed, and according to the different nursing options given, all the patients were divided into the control group （ n =60 ） and the observation group （ n =60 ） . Patients in the control group received routine nursing and diet therapy, whereas those in the observation group were given psychological nursing combined with kinesitherapy on the basis of the routine care. The blood glu- cose level, psychological state and adverse pregnancy outcomes in the two groups were observed and compared. Results The levels of blood glucose in different periods of the observation group were all lower than those of the control group （P 〈 0.05 ）; before nursing care given, no statistically significant difference was registered in the psychological state between the two groups （P 〉 0.05 ）; however, the SDS and SAS scores after nursing in the observation group were shown to be lower than those in the control group （P〈0.05）, and the total incidence of adverse pregnancy outcome in the ob- servation group was shown to be significantly lower than that in the control group （ P 〈 0.05 ） . Conclusion For GDM patients, combined application of kinesitherapy and psychological nursing can effectively control the blood glucose of maternal body, alleviate their psychological negative emotions and reduce the incidence of adverse pregnancy out-comes; therefore, it is of the value to be popularized in clinical application.