认知、行为护理对妊娠期糖尿病患者产后自护能力的影响

Effect of cognitive and behavioral nursing on postpartum self-care ability in gestational diabetic patients

目的探讨认知、行为护理对妊娠期糖尿病患者产后自护能力的影响。方法选取我院收治的120例妊娠期糖尿病患者,随机分为观察组和对照组,各60例。对照组采取常规护理,观察组在对照组基础上采取认知、行为护理。比较两组患者护理干预血糖水平及产后自护能力评分。结果护理前,两组患者的FBG、2 hPG水平及自护能力评分无显著差异(P>0.05);护理后2个月,两组患者FBG、2 hPG水平均显著降低,且观察组低于对照组(P<0.05);护理后6个月(产后),两组患者健康知识水平、自我概念、自护责任感、自我护理技能评分及自护能力总分均显著升高,且观察组高于对照组(P<0.05)。结论认知、行为护理有助于妊娠期糖尿病患者对血糖的控制,可提升患者产后自护能力,值得临床推广。

Objective To explore the effect of cognitive and behavioral nursing on postpartum self -care ability ingestational diabetic patients. Methods A total of 120 cases of gestational diabetic patients adonitted in our hospital wererandomly divided into observation group and control group, with 60 cases in each group. The control group received routinenursing, and the observation group received cognitive and behavioral nursing on the basis of the control group. The bloodglucose levels and postpartum self -care scores of the two groups were compared. Results There was no significantdifference in the levels of FBG and 2h PG and the score of self-care ability between the two groups before nursing（P〉0.05）.After 2 months of nursing, the levels of FBG and2 h PG in both groups significantly decreased, and those in theobservation group were lower than the control group （P〈0.05）. After 6 months of nursing （postpartum）, the scores of healthknowledge level, self-concept, self-care responsibility and self-nursing skills and total scores of self-care ability of the twogroups significantly increased, and those in the observation group were higher than the control group （P〈0.05）. ConclusionCognitive and behavioral nursing is helpful to the control of blood glucose in patients with gestational diabetic patients andcan promote postpartum self-care ability, which is worthy clinical promotion.