健康管理对妊娠期糖尿病患者疾病认知水平及母婴并发症的影响研究

Research the health management on the patients with gestational diabetes mellitus and its influence on the disease cognition level and maternal and infant complications

目的 研究健康管理对妊娠期糖尿病患者疾病认知水平及母婴并发症的影响。方法 选取2018年10月至2019年9月本院收治的90例妊娠期糖尿病患者作为研究对象,按照随机数字表法分为对照组与实验组,各45例。对照组施予常规管理,实验组在对照组的基础上施予健康管理,比较两组疾病认知水平、母婴并发症发生率及自我管理效能。结果 实验组认知水平优良率为95.56%,明显高于对照组的73.33%,差异有统计学意义(P<0.05)。实验组孕妇并发症发生率为4.44%,明显低于对照组的20.00%,差异有统计学意义(P<0.05);实验组新生儿不良结局发生率为4.44%,明显低于对照组的22.22%,差异有统计学意义(P<0.05)。实验组自我管理效能评分为(119.12±13.16)分,明显高于对照组(99.53±14.21)分,差异有统计学意义(P<0.05)。结论 健康管理有助于提升妊娠期糖尿病患者疾病认知水平及自我管理效能,并控制孕妇并发症及新生儿不良结局,值得临床推广应用。

Objective To research the health management on the patients with gestational diabetes mellitus and its influence on the disease cognition level and maternal and infant complications. Methods 90 cases with gestational diabetes mellitus patients were randomly selected in our hospital during October 2018 to September 2019 as the study subjects, and they were divided into control group and experimental group according to the random number table method, with 45 cases in each group. The patients in control group were received routine management, the experimental group was received health management on the basis of control group. The disease cognition level, maternal and infant complications and self-management effectiveness were compared between the two groups. Results After the management, the rate of good and good cognitive level in the experimental group was 95.56%, which was higher than 73.33% of the control group, the difference was statistically significant(P<0.05). The incidence of complications of pregnant women in the experimental group was 4.44%, which was significantly lower than 20.00% in the control group,and the difference was statistically significant(P<0.05);the incidence of neonatal adverse outcomes in the experimental group was 4.44%, which was significantly lower than 22.22% in the control group, the difference was statistically significant(P<0.05). After the management, the self-management effectiveness score in the experimental group was(119.12±13.16) scores, which was higher than that of the control group(99.53±14.21)scores, the difference was statistically significant(P<0.05). Conclusion Health management on the patients with gestational diabetes mellitus can help to improve the disease cognition level and self-management effectiveness, as well as controlling the maternal complications and adverse neonatal outcomes, which is deserved to choose.