心理护理联合运动疗法在妊娠糖尿病护理中的应用效果观察

Observation on the Effect of Psychological Nursing Combined with Exercise Therapy in the Nursing of Gestational Diabetes

目的分析妊娠糖尿病患者行心理护理联合运动疗法的价值。方法选入该院妇产科于2016年12月—2017年12月就诊的妊娠糖尿病患者82例,予以双盲法的分组原则将其平均分为观察组和对照组,每组41例。对照组予以基础护理模式,观察组则在此基础上行心理护理联合运动疗法,对比两组患者临床指标。结果经过不同模式护理后,对照组餐后2 h、空腹指标以及夜晚的血糖指标改善程度均差于观察组(P<0.05);护理后SAS以及SDS评分对比观察组改善程度优于对照组(P<0.05);不良妊娠结局分析,对照组不良妊娠结局发生率29.2%高于观察组9.7%(P<0.05)。结论对妊娠糖尿病患者予以运动疗法联合心理护理模式,能够对患者体内血糖指标改善,降低负性心理反应。

Objective To analyze the value of psychological nursing combined with exercise therapy in patients with gestational diabetes.Methods 82 patients with gestational diabetes who were admitted to our department from December 2016 to December 2017 were enrolled in this study.The double-blind grouping principle was divided into observation group and control group,with 41 cases in each group.The control group was given the basic nursing mode,and the observation group was based on the basic psychological nursing combined exercise therapy,comparing the clinical indicators of the two groups.Results After different modes of care,the improvement of the control group 2 hours after meals,fasting index and nighttime blood glucose index were worse than the observation group(P<0.05).The improvement of SAS and SDS scores after treatment was better than that of the control group(P<0.05);Analysis of adverse pregnancy outcomes,the incidence of adverse pregnancy outcomes in the control group was 29.2% higher than that in the observation group 9.7%(P<0.05).Conclusion The combination of exercise therapy and psychological nursing mode for patients with gestational diabetes can improve the blood glucose index and reduce the negative psychological reaction.