孕妇健康教育护理对妊娠糖尿病干预的分析

Analysis of Intervention of Pregnant Women's Health Education and Nursing on Gestational Diabetes

目的探讨孕妇健康教育护理对妊娠糖尿病干预的体会。方法将该院2018年1月—2019年12月80例妊娠糖尿病孕妇,数字表方法随机法分两组,每组40例。对照组给予常规护理,研究组实施常规护理联合孕妇健康教育护理。比较两组护理开始和护理后空腹状态血糖值的监测水平、进餐后2 h血糖的监测水平、ESCA量表各项评分、产妇、婴儿总不良事件发生率。结果护理开始两组空腹状态血糖值的监测水平、进餐后2 h血糖的监测水平比较,差异无统计学意义(P>0.05),而护理结束研究组空腹状态血糖值的监测水平、进餐后2 h血糖的监测水平(7.21±1.81)mmol/L、(9.13±2.71)mmol/L显著低于对照组(9.24±2.41)mmol/L、(11.21±3.21)mmol/L,差异有统计学意义(P<0.05)。护理开始两组ESCA量表各项评分比较,差异无统计学意义(P>0.05),而护理结束研究组ESCA量表各项评分显著高于对照组,差异有统计学意义(P<0.05)。研究组产妇、婴儿总不良事件有1例,占2.5%,而对照组产妇、婴儿总不良事件8例,占20.0%,差异有统计学意义(P<0.05)。结论妊娠糖尿病孕妇在常规护理基础上给予健康教育可减轻孕妇不良情绪,有利于提高孕妇的自我管理能力,促进血糖和妊娠结局改善,是一种值得推广和应用的护理模式。

Objective To explore the experience of pregnant women's health education and nursing on intervention of gestational diabetes.Methods From January 2018 to December 2019,80 pregnant women with gestational diabetes in the hospital were randomly divided into two groups using the digital table method.40 case in each group.The control group was given routine care,and the study group was given routine care combined with pregnant women's health education care.The monitoring levels of blood glucose in the fasting state at the beginning and after the care of the two groups were compared,the monitoring levels of blood glucose 2 h after a meal,the scores of the ESCA scale,and the incidence of total adverse events in maternal and infants were compared between the two groups.Results There was no statistically significant difference in the blood glucose monitoring level of the two groups in the fasting state at the beginning of nursing and the blood glucose monitoring level 2 h after the meal(P>0.05),while the monitoring level of the blood glucose in the fasting state of the study group at the end of care was 2 h after the meal The blood glucose monitoring levels(7.21±1.81)mmol/L and(9.13±2.71)mmol/L were significantly lower than those of the control group(9.24±2.41)mmol/L and(11.21±3.21)mmol/L,the difference was statistically significant(P<0.05).There was no statistically significant difference in the scores of the ESCA scale between the two groups at the beginning of nursing(P>0.05),while the scores of the ESCA scale in the study group at the end of care were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).There were 1 case of maternal and infant adverse events in the study group,accounting for 2.5%,while the control group had 8 cases of maternal and infant adverse events,accounting for 20.0%,and the difference was statistically significant(P<0.05).Conclusion Health education for pregnant women with gestational diabetes on the basis of routine nursing care can reduce the unhealthy emotions of pregnant women,improve the self-management ability of pregnant women,promote the improvement of blood glucose and improve pregnancy outcome.It is a nursing model worthy of promotion and application.