群组管理在妊娠期糖尿病患者中的应用效果

Application effect of group management in gestational diabetes patients

目的探讨群组管理在妊娠期糖尿病孕妇中的应用效果。方法选取2017年6—12月于产科治疗的100例妊娠期糖尿病孕妇为研究对象,随机将其等分为常规管理组和群组管理组。比较两组孕妇干预前后血糖控制情况、负性情绪和母婴结局。结果干预前,两组孕妇空腹血糖、餐后2 h血糖、焦虑自评量表和抑郁自评量表评分比较差异均无统计学意义(P> 0. 05)。干预后3个月,群组管理组空腹血糖、餐后2 h血糖、焦虑评分和抑郁评分均低于常规管理组(P <0. 05),母婴不良结局发生率低于常规管理组(P <0. 05)。结论群组管理在妊娠期糖尿病孕妇中的应用,能够控制其血糖,改善负性情绪和母婴不良结局。

Objective To explore the application effect of group management in gestational diabetes patients.Methods To select100cases of pregnant women with gestational diabetes who were treated in obstetrics department from June to December2017as research subjects,and they were divided into conventional management group and team management group randomly.Blood glucose control,negative emotion as well as maternal and child outcomes were compared between the two groups before and after intervention.Results Before the intervention,the difference in the fasting blood glucose,blood glucose at2hours after the meal,self-rating anxiety scale scores and self-rating depression scale scores between the two groups had no statistical significance(P>0.05).Three months after the intervention,the fasting blood glucose,blood glucose at2hours after the meal,anxiety scores and depression scores in the group management group were lower than those in the conventional management group(P<0.05).The maternal and infant outcomes were lower than that of the conventional management group(P<0.05).Conclusion Application of group management in pregnant women with gestational diabetes can control their blood sugar.In addition,it can improve patients’negative emotions as well as maternal and child outcomes.