全程持续性健康教育管理在妊娠期糖尿病患者中的应用效果

Application effect of whole course continuous health education management in patients with gestational diabetes mellitus

目的探讨在妊娠期糖尿病(GDM)患者中应用全程持续性健康管理的效果。方法选取我院2016年6月至2017年6月收治的106例GDM患者,按照随机的方式将其分为参照组和研究组,各53例。参照组给予常规护理,研究组在常规护理的基础上给予全程持续性健康教育。比较护理前、后两组的血糖指标、妊娠结局及护理满意度。结果护理后两组患者的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)及糖化血红蛋白(HbA1c)水平均显著降低,且研究组低于参照组(P<0.05);研究组中巨大儿、胎儿宫内窘迫、新生儿窒息的发生率显著低于参照组(P<0.05);研究组的护理满意度明显高于参照组(P<0.05)。结论对GDM患者应用全程持续性健康教育管理可改善血糖水平,减少不良妊娠结局,并能提高护理满意度。

Objective To investigate the effect of whole course continuous health education management in patients with gestational diabetes mellitus（GDM）. Methods A total of 106 cases of patients with GDM in our hospital from June 2016 to June 2017 were selected and randomly divided into reference group and study group, with 53 cases in each group. The reference group was given routine nursing, the study group was given whole course continuous health education management based on the reference group. The blood glucose indexes before and after nursing, pregnancy outcomes and nursing satisfaction of the two group were compared. Results The levels of fasting blood glucose（FBG）, postprandial 2 h blood sugar（2 h PBG） and glycated hemoglobin（HbA1c） in the two groups after nursing were significantly reduced than those before nursing（P〈0.05）, and those of the study group were lower than the reference group（P〈0.05）. The incidences of macrosomia, intrauterine fetal distress and neonatal asphyxia in the study group were lower than those in the reference group（P〈0.05）. The nursing satisfasction of study group was higher than that of the reference group（P〈0.05）. Conclusion The application of whole course continuous health education management in GDM patients can improve blood glucose levels, reduce adverse pregnancy outcomes and improve nursing satisfaction.