个性化营养护理联合心理护理在妊娠期糖尿病中的应用效果

Eff ect of individualized nutrition nursing combined with psychological nursing on pregnant diabetes

目的分析妊娠期糖尿病患者采用个性化营养护理联合心理护理的应用效果。方法选取83例妊娠期糖尿病患者,根据入院单号的末尾奇偶数分为观察组(41例)与对照组(42例)。对照组采用常规护理,观察组在对照组基础上采用个性化营养护理联合心理护理。比较两组护理前后血糖指标、心理状态及不良妊娠结局发生情况。结果护理前,两组糖化血红蛋白(HbA1c)、空腹血糖(FPG)及餐后2 h血糖(2 hPG)指标比较,差异无统计学意义(P>0.05);护理后,观察组HbA1c、FPG及2 hPG指标均显著低于对照组,差异有统计学意义(P<0.05)。护理前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);护理后,观察组HAMA、HAMD评分均显著低于对照组,差异有统计学意义(P<0.05)。观察组不良妊娠结局发生率为4.88%,显著低于对照组的21.43%,差异有统计学意义(P<0.05)。结论个性化营养护理联合心理护理在妊娠期糖尿病中可有效降低患者血糖水平,缓解焦虑、抑郁情绪,改善不良妊娠结局,具有临床应用价值。

Objective To analyze the application effect of personalized nutrition nursing combined with psychological nursing in patients with gestational diabetes mellitus.Methods 83 patients with gestational diabetes mellitus were selected and divided into observation group(41 cases)and control group(42 cases)according to the end odd and even number of admission order.The control group adopted routine nursing,and the observation group adopted personalized nutrition nursing combined with psychological nursing on the basis of the control group.Blood glucose,psychological status and adverse pregnancy outcomes were compared between the two groups before and after nursing.Results Before nursing,there were no significant differences in HbA1c,FPG and 2 h postprandial blood glucose(2 hPG)between 2 groups(P>0.05).After nursing,HbA1c,FPG and 2 hPG in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)between the two groups(P>0.05).After nursing,HAMA and HAMD scores in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was 4.88%,which was significantly lower than 21.43%in the control group,and the difference was statistically significant(P<0.05).Conclusion Personalized nutrition nursing combined with psychological nursing can effectively reduce the level of blood glucose,relieve anxiety and depression,and improve the adverse pregnancy outcome in gestational diabetes,which has clinical application value.