自我管理日记对妊娠期糖尿病孕妇血糖控制与妊娠结局的影响研究

Effect of self-management diary on blood glucose control and pregnancy outcomes of pregnant women with gestational diabetes mellitus

目的探讨自我管理日记对妊娠期糖尿病孕妇血糖控制与妊娠结局的影响。方法采用回顾性方法对本院72例妊娠期糖尿病孕妇的临床资料进行查证,依据护理干预模式的不同分为对照组和观察组各36例。2组孕妇均给予常规对症药物的支持治疗,对照组孕妇给予常规一般护理干预措施,对家人进行健康饮食的教育和指导护理;观察组孕妇给予自我管理日记护理干预措施,观察2组患者的治疗效果(血糖控制达标率和妊娠结局)。结果干预前后,2组患者的空腹血糖、餐后2 h血糖及糖化血红蛋白水平差异具有统计学意义(P<0.05);从血糖整体控制水平来看,观察组显著优于对照组(P<0.05);观察组的血清C肽(空腹血清C肽和餐后2 h C肽)整体控制水平显著优于对照组(P<0.05);从母婴健康来看,观察组的剖宫产率和母婴健康指数显著优于对照组(P<0.05)。结论采用护理干预模式,有利于提升医院的护理质量,开展的孕妇自我干预模式可以有效控制妊娠期糖尿病孕妇的血糖,降低了剖宫产率,值得临床推广应用。

Objective To study the effect of self-management diary on blood glucose control and pregnancy outcomes in pregnant women with gestational diabetes mellitus. Methods The clini- cal data of 72 pregnant women with gestational diabetes mellitus admitted in our hospital were retro- spectively analyzed. According to the different nursing intervention patterns, the patients were divided into control group and observation group. Pregnant women of two groups were given supportive treat- ment of conventional symptomatic drugs. Pregnant women in the control group were given routine gen- eral nursing interventions to guide their healthy dietary in their families, and the pregnant women in observation group were given self-management diary nursing intervention, therapeutic efficacy in blood glucose control compliance rate and pregnancy outcomes were compared. Results The levels fasting blood glucose, Postprandial 2 h blood glucose and glycosylated hemoglobin after intervention in two groups were statistically significant （ P 〈 0.05 ）. The control level of blood glucose in observation group was better than the control group （P 〈 0.05 ）. The level of serum C-peptide （fasting serum C- peptide and postprandial 2 h peptide） in the observation group was significantly better than that in the control group （ P 〈 0.05 ）. The cesarean section rate and mother-infant health indices of the observa- tion group were significantly better than that in the control group, the differences were statistically sig- nificant （P 〈 0.05 ）. Conclusion Nursing intervention model is of great significance to improve the nursing quality of the whole hospital . Implementation of self - intervention model of pregnant women can not only effectively control gestational diabetes mellitus of pregnant women and significantlyreduce rate of cesarean section, so it is worthy of clinical application.