医护患协作式一日门诊模式在妊娠期糖尿病孕妇管理中的应用

Application of one-day outpatient service mode of doctor-nurse-patient cooperation in the management of pregnant women with gestational diabetes mellitus

目的探讨医护患协作式一日门诊模式在妊娠期糖尿病孕妇管理中的应用。方法选择2020年7月至12月124例于广东省妇幼保健院检查诊断妊娠期糖尿病孕妇为研究对象,根据孕妇自愿参与原则,采用随机数字表法分为对照组与观察组,各62例。对照组年龄(31.24±2.14)岁,予以常规护理;观察组年龄(32.57±2.46)岁,采用医护患协作一日门诊模式。比较两组护理干预前后的自我效能评分、健康知识掌握情况以及血糖控制和体质量管理情况。结果护理干预前,两组自我效能评分、健康知识掌握评分比较差异均无统计学意义(均P>0.05);护理干预后,对照组孕妇的自我效能评分、健康知识掌握评分分别为(124.64±20.46)分、(64.43±9.14)分,观察组为(154.43±19.62)分、(79.86±8.11)分,两组评分均有提高,观察组均明显高于对照组(均P<0.05)。护理干预前,两组空腹血糖、餐后2 h血糖比较差异均无统计学意义(均P>0.05);护理干预后对照组孕妇的空腹血糖、餐后2 h血糖分别为(4.66±0.73)mmol/L、(6.57±0.64)mmol/L,观察组分别为(4.23±0.46)mmol/L、(6.24±0.71)mmol/L,与干预前比较两组血糖均降低,观察组均低于对照组(均P<0.05)。护理干预后观察组孕妇孕期体质量总增长低于对照组[(9.79±3.13)kg比(11.21±3.24)kg],两组比较差异有统计学意义(P=0.014)。结论医护患协作式一日门诊模式对妊娠期糖尿病孕妇进行干预,可提高孕妇的自我管理能力以及妊娠期糖尿病知识的掌握水平,有效协助孕妇控制血糖和体质量。

Objective To probe into the application of one-day outpatient service mode of doctor-nurse-patient cooperation in the management of pregnant women with gestational diabetes mellitus.Methods A total of 124 pregnant women with gestational diabetes mellitus who were examined in Guangdong Maternal and Child Health Hospital from July to December 2020 were selected as the study subjects,and according to the principle of voluntary participation,they were divided into a control group and an observation group with the random number table,with 62 cases in each group.The control group was(31.24±2.14)years old and received routine nursing;the observation group was(32.57±2.46)years old and received one-day outpatient service mode of doctor-nurse-patient cooperation.The self-efficacy score,health knowledge mastery,blood glucose control,and body weight management were compared between the two groups before and after the nursing intervention.Results Before the nursing intervention,there were no statistically significant differences in the self-efficacy score and health knowledge mastery score between the two groups(both P>0.05);after the nursing intervention,the self-efficacy score and health knowledge mastery score in the control group were(124.64±20.46)points and(64.43±9.14)points,respectively,and those in the observation group were(154.43±19.62)points and(79.86±8.11)points,respectively,those in the observation group were significantly higher than those in the control group(both P<0.05).Before the nursing intervention,there were no statistically significant differences in the fasting blood glucose and 2 h postprandial blood glucose between the two groups(both P>0.05);after the nursing intervention,the fasting blood glucose and 2 h postprandial blood glucose in the control group were(4.66±0.73)mmol/L and(6.57±0.64)mmol/L,respectively,and those in the observation group were(4.23±0.46)mmol/L and(6.24±0.71)mmol/L,respectively,the blood glucose levels in both groups decreased compared with those before the nursing intervention,and those in the observation group were lower than those in the control group(all P<0.05).After the nursing intervention,the total increase of pregnant women's body weight during the pregnancy in the observation group was lower than that in the control group[(9.79±3.13)kg vs.(11.21±3.24)kg],with a statistically significant difference between the two groups(P=0.014).Conclusion The one-day outpatient service mode of doctor-nurse-patient cooperation can improve pregnant women's ability of self-management and knowledge on gestational diabetes,and effectively assist pregnant women to control the blood glucose and body weight.