正念饮食察觉训练在妊娠糖尿病患者中的应用研究

The application of mindfulness-based eating awareness training in gestational diabetes mellitus patients

目的探讨正念饮食察觉训练对妊娠糖尿病患者的影响。方法选取青岛市某三级甲等医院产科门诊的妊娠糖尿病患者95例,按产检时间分为试验组(49例)、对照组(46例)。对照组给予常规健康教育及心理护理,试验组在对照组基础上给予正念饮食察觉训练,每周一次,每次50 min,共8次,评估干预前后两组患者焦虑情绪、睡眠质量、应对适应能力及血糖水平。结果干预后,试验组患者焦虑、睡眠质量得分低于对照组,应对适应得分高于对照组,空腹血糖、餐后2 h血糖优于对照组,差异具有统计学意义(P<0.05);两组患者糖化血红蛋白相比,差异无统计学意义。结论正念饮食察觉训练有助于缓解患者焦虑水平,提高睡眠质量及应对水平,改善血糖水平,值得在临床推广应用。

Objective To explore the effects of mindfulness-based eating awareness training on gestational diabetes mellitus patients.Methods A total of 95 patients with gestational diabetes mellitus from obstetrics outpatient were recruited and randomly assigned to experimental group(n=49)and control group(n=46).The experimental group and control group received routine mental nursing care and health education.The only difference was mindfulness-based eating awareness training once a weekwhich lasted 50 minutesand had 8 times intotalin the experimental group.After intervention,the scores of anxiety,quality of sleep,coping and adaptation and blood glucose of two groups were compared before and after the intervention.Results After intervention,the scores of anxiety,quality of sleep in the experimental group were significantly lower than those of the control group,and the scores of coping and adaptation,fasting glucose after 2 h postprandial blood glucose were significantly lower than those in the control group(P<0.05).HbA1 had no significant difference.Conclusion Mindfulness-based eating awareness training can relieve anxiety,improved the quality of sleep,and the level of coping adaptation and blood glucose,which is a good health method and worthy of promotion.