以时效性激励理论为指导的延伸服务对妊娠期糖尿病患者血糖控制及分娩结局的影响

Effect of the time-sensitive incentive theory-guided extended service on blood glucose control and delivery outcomes in gestational diabetes mellitus patients

目的探讨以时效性激励理论为指导的延伸服务对妊娠期糖尿病(GDM)患者血糖控制及分娩结局的影响。方法选择2016年6月～2017年12月在新疆维吾尔自治区人民医院产科门诊就诊的98例GDM患者作为研究对象,根据随机数字表法将其分为干预组和对照组,每组各49例。对照组在新疆维吾尔自治区人民医院门诊孕妇学校签到听课≥6次,干预组在门诊孕妇学校教育的基础上,给予以时效性激励理论为指导的延续护理。观察两组患者入院分娩时的空腹血糖、餐后2 h血糖、糖化血红蛋白、孕期体重增加,同时分别收集羊水过多、胎膜早破、剖宫产、新生儿低血糖、巨大儿、胎儿生长受限、新生儿呼吸窘迫发生例数。结果干预后,干预组入院时的空腹血糖、餐后2 h血糖、糖化血红蛋白、孕期体重增加均低于对照组,差异有统计学意义(P <0.05)。干预组羊水过多、胎膜早破、新生儿低血糖、巨大儿、胎儿生长受限的发生率均低于对照组,差异有统计学意义(P <0.05)。结论 GDM延续护理团队通过以时效性激励理论为指导的延伸服务,可以有效帮助GDM患者控制孕期血糖,降低GDM并发症的发生,减少不良妊娠结局的发生,对保障母婴健康有重要意义。

Objective To explore the effect of the time-sensitive incentive theory-guided extended service guided by timeliness incentive theory on blood glucose control and delivery outcome of gestational diabetes mellitus(GDM)patients.Methods Ninety-eight cases of gestational diabetes patients admitted to the outpatient department of obstetrics of Xinjiang Uygur Autonomous Region People′s Hospital from June 2016 to December 2017 were selected as the research objects.According to the random number table,they were divided into the intervention group and the control group,with 49 cases in each group.In the control group,the outpatient pregnant women′s school of Xinjiang Uygur Autonomous Region People′s Hospital has signed in for more than 6 lectures,while the intervention group was provided with the time-sensitive incentive theory-guided extended service on the basis of education in the pregnant women school.The fasting blood glucose,postprandial blood glucose,glycosylated hemoglobin,and pregnancy weight gain of patients in the two groups at the time of admission and delivery were observed,respectively,the number of cases of hyperhydramnios,premature rupture of membranes,cesarean section,neonatal hypoglycemia,macrosomia,fetal growth restriction,and neonatal respiratory distress were collected.Results After the intervention,fasting blood glucose,postprandial blood glucose,glycosylated hemoglobin and pregnancy weight gain in the intervention group were all lower than those in the control group at admission,with statistically significant differences(P<0.05).The incidence of hyperhydramnios,premature rupture of membranes,hypoglycemia,macrosomia and fetal growth restriction in the intervention group was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion GDM continuous care team can effectively help GDM patients control blood glucose during pregnancy,reduce the occurrence of GDM complications and reduce the occurrence of adverse pregnancy outcomes through extended services guided by the time-sensitive incentive theory,which is of great significance to the protection of maternal and infant health.