生活方式护理联合正念行为训练在妊娠糖尿病患者中的应用

Application of lifestyle nursing combined with mindfulness behavior training in patients with gestational diabetes mellitus

目的探讨生活方式护理联合正念行为训练在妊娠糖尿病(GDM)患者中的应用效果。方法选择2019年2月至2021年4月四川省德阳市人民医院收治的120例GDM患者为研究对象,依据随机数字表法将其分为对照组(60例)与观察组(60例)。对照组给予生活方式护理,观察组给予生活方式护理联合正念行为训练。两组干预至患者分娩。比较两组干预前、分娩前1 d时血糖水平及心理状况,观察两组不良妊娠结局发生情况。结果两组分娩前1 d空腹血糖、餐后2 h血糖水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组分娩前1 d焦虑自评量表、抑郁自评量表评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组胎儿宫内窘迫、巨大儿发生率高于对照组,差异有统计学意义(P<0.05)。两组难产、新生儿低血糖发生率比较,差异无统计学意义(P>0.05)。结论生活方式护理联合正念行为训练可帮助GDM患者控制血糖水平,改善心理状况,并能在一定程度上降低不良妊娠结局发生风险。

Objective To explore the application effect of lifestyle nursing combined with mindfulness behavior training in patients with gestational diabetes mellitus(GDM).Methods A total of 120 GDM patients admitted to Deyang People’s Hospital from February 2019 to April 2021 were selected as the research objects,and divided into the control group(60 cases)and the observation group(60 cases)according to the random number table method.The control group was given lifestyle nursing,while the observation group was given lifestyle nursing combined with mindfulness behavior training.Both groups were intervened until delivery.The blood glucose levels and psychological status before intervention and one day before delivery were compared between the two groups,and the occurrence of adverse pregnancy outcomes in the two groups was observed.Results The levels of fasting blood glucose and two hours postprandial blood glucose in the two groups before delivery were lower than those before intervention,while the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The scores of the anxiety self-rating scale and depression self-rating scale a day before delivery in the two groups were lower than those before the intervention,while the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of fetal distress and macrosomia in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of dystocia and neonatal hypoglycemia between the two groups(P>0.05).Conclusion Lifestyle nursing combined with mindfulness behavior training can help GDM patients control blood sugar levels,improve psychological status,and reduce the risk of adverse pregnancy outcomes to a certain extent.