动态血糖监测指导个体化护理方案对妊娠期糖尿病患者的影响

The Effect of Dynamic Blood Glucose Monitoring Nursing Programs on Gestational Diabetes

目的探讨动态血糖监测指导个体化护理方案对妊娠期糖尿病(GDM)患者的影响。方法选取2017年3月～2018年6月在我院治疗的GDM患者120例,按照治疗方案的不同分为对照组和试验组,每组60例。对照组给予常规护理。试验组在动态血糖检测基础上给予个体化护理方案。比较两组护理前后血糖相关指标(胰岛素、胰高血糖素)、疾病知信行评分、应对方式评分的差异。结果两组护理前后血糖、胰岛素、胰高血糖素比较差异有统计学意义(P<0.05);试验组护理后血糖、胰岛素、胰高血糖素低于对照组(P<0.05);两组护理前后疾病知识、饮食控制、适宜运动、遵医用药、戒烟戒酒、血糖监测、定期复查评分比较差异有统计学意义(P<0.05);试验组护理后疾病知识、饮食控制、适宜运动、遵医用药、戒烟戒酒,血糖监测、定期复查评分高于对照组(P<0.05);两组护理前后积极应对和消极应对评分比较差异有统计学意义(P<0.05);试验组护理后积极应对评分高于对照组,消极应对评分低于对照组(P<0.05)。结论动态血糖监测指导个体化护理为GDM患者提供更高的护理质量,降低母婴并发症发生率,改善患者生存质量。

Objective Understand the effect of personalized blood glucose monitoring and personalized care program on gestational diabetes.Methods A total of 120patients who were treated in our hospital from March 2017to July 2018were randomly selected and divided into a routine care group(control group)and a personalized blood glucose test group based on the treatment plan(test group),60patients in each group.The blood glucose and related indicators(insulin,glucagon), disease knowledge and confidence score and coping style score were compared between the two groups before and after treatment. Results Blood glucose,insulin,and glucagon levels were significantly different between the two groups before and after nursing.After treatment,blood glucose,insulin,and glucagon levels were lower in the experimental group than in the control group.There was a significant difference in scores between the two groups in terms of disease knowledge before and after nursing,diet control,fitness for exercise,medication compliance,smoking cessation and abstinence,blood glucose monitoring,and regular review.After nursing,the scores of disease knowledge,diet control,fitness exercise,medication compliance,smoking cessation and abstinence,blood glucose monitoring,and regular review were higher in the experimental group than in the control group.Positive and negative response scores were significantly different between the two groups before and after nursing.After treatment,the positive response score of the experimental group was higher than that of the control group.The negative response score of the experimental group was lower than that of the control group.Conclusions Dynamic blood glucose monitoring guiding individualized nursing can provide patients with higher quality of care,reduce the incidence of maternal and neonatal complications, improve the quality of life of patients,and is worthy of clinical promotion.