基于保护动机理论的护理干预对妊娠期糖尿病患者母婴结局的影响

Influence of Nursing Intervention Based on Protective Motivation Theory on the Maternal and Infant Outcomes of Patients with Gestational Diabetes Mellitus

目的 探讨基于保护动机理论(PMT)的护理干预对妊娠期糖尿病(GDM)患者母婴结局的影响。方法 选择2019年1月至2020年12月我院收治的200例GDM患者,随机分为两组各100例。对照组实施常规护理,观察组实施基于PMT的护理干预,两组均干预至患者分娩。对比两组的血糖控制效果与母婴结局。结果 干预后,观察组的空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于对照组(P<0.05)。观察组不良母婴结局发生率为4.00%,低于对照组的15.00%(P<0.05)。结论 基于PMT的护理干预可提高GDM患者的血糖控制效果,改善母婴结局。

Objective To explore the influence of nursing intervention based on protective motivation theory(PMT)on the maternal and infant outcomes of patients with gestational diabetes mellitus(GDM).Methods 200 GDM patients admitted to our hospital from January 2019 to December 2020 were selected and randomly divided into two groups,with 100 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on PMT.Both groups were intervened until delivery.The blood glucose control effect,and maternal and infant outcomes were compared between the two groups.Results After intervention,the fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin levels of the observation group were lower than those of the control group(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group was 4.00%,lower than 15.00% in the control group(P<0.05).Conclusions Nursing intervention based on PMT can improve the blood glucose control effect and maternal and infant outcomes of GDM patients.