运动疗法配合心理干预在妊娠期糖尿病中的效果分析

Effect analysis of exercise therapy combined with psychological intervention in gestational diabetes mellitus

目的观察运动疗法配合心理干预在妊娠期糖尿病中的应用效果。方法选取130例妊娠期糖尿病患者,根据随机数字表法分为对照组与研究组,每组65例。对照组采用常规干预,研究组在此基础上采用运动疗法配合心理干预。比较两组应用效果。结果干预前,两组糖化血红蛋白、空腹血糖、餐后2 h血糖、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组各项血糖指标水平及心理状态评分均低于干预前,且研究组的糖化血红蛋白、空腹血糖、餐后2 h血糖、SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。研究组不良妊娠结局发生率为12.31%,低于对照组的29.23%,差异有统计学意义(P<0.05)。研究组的总满意度为96.92%,总依从性为95.38%,高于对照组的87.69%、84.62%,差异有统计学意义(P<0.05)。结论妊娠期糖尿病患者接受运动疗法配合心理干预,能有效缓解负性情绪,控制血糖水平,促进胎儿正常发育,改善妊娠结局,值得临床推广与使用。

Objective To observe the effect of exercise therapy combined with psychological intervention in gestational diabetes mellitus.Methods 130 patients with gestational diabetes mellitus were selected and divided into control group and study group according to random number table method,with 65 cases in each group.The control group was given routine intervention,and the study group was given exercise therapy combined with psychological intervention on this basis.The application effect of the two groups was compared.Results Before nursing,there were no significant differences in glycated hemoglobin,fasting blood glucose,2 h postprandial blood glucose,sel^rating anxiety scale(SAS)score,self-rating depression scale(SDS)score between the two groups(P>0.05);after nursing,the blood glucose indexes levels and psychological state scores of the two groups were lower than those before nursing,and the glycated hemoglobin,fasting blood glucose,2 h postprandial blood glucose,SAS score and SDS score of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcome in the study group was 12.31%,which was lower than 29.23%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of nursing in the study group was 96.92%,and the total compliance was 95.38%,which were higher than 87.69%and 84.62%in the control group,and the differences were statistically significant(P<0.05).Conclusion Exercise therapy combined with psychological intervention for patients with gestational diabetes mellitus can effectively alleviate negative emotions,control blood glucose level,promote normal fetal development and improve pregnancy outcomes,which is worthy of clinical promotion and use.