运动护理对妊娠期糖尿病孕妇血糖控制效果的临床干预研究

Clinical Intervention Study on the Effect of Exercise Nursing on Blood Glucose Control in Pregnant Women with Gestational Diabetes Mellitus

目的探讨分析运动护理对妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇血糖控制效果及分娩结局的影响,并为后续的临床治疗与护理提供参考依据。方法2018年3月—2021年3月方便选取厦门大学附属妇女儿童医院诊治的800例GDM孕妇为研究对象,以随机数表法将其分为研究组与对照组,各400例。对照组进行常规护理,研究组在此基础上进行运动护理。分析两组患者血糖控制情况及糖化血红蛋白水平、不良妊娠结局发生率、心理状态评分。结果两组患者干预前的FPG、2 hPG、HbA1c水平差异无统计学意义(P>0.05);干预后两组患者FPG、2 hPG、HbA1c水平均显著下降,与对照组相比,研究组的上述指标下降更明显,差异有统计学意义(P<0.05)。研究组患者不良妊娠结局发生率为5.25%,低于对照组的9.50%,差异有统计学意义(P<0.05)。干预前,两组的SAS、SDS评分差异无统计学意义(P>0.05);干预后,两组的SAS、SDS评分均降低,且研究组的SAS、SDS评分下降幅度高于对照组,差异有统计学意义(P<0.05)。结论运动护理模式应用于GDM患者不仅可以有效控制患者血糖指标,降低不良妊娠结局发生率,也可以有效提升患者的心理状态与护理满意度,具有良好的临床推广价值。

ObjectiveTo explore and analyze the effect of exercise nursing on the blood glucose control effect and delivery outcome of pregnant women with gestational diabetes mellitus GDM, and to provide reference for subsequent clinical treatment and nursing.MethodsFrom March 2018 to March 2021, 800 pregnant women with GDM who were diagnosed and treated in Xiamen University Affiliated Women′s and Children′s Hospital were conveniently selected as research objects, and they were divided into a study group and a control group by random number method, with400 cases in each group. The control group received routine nursing, and the study group received exercise nursing on this basis. The blood glucose control, glycosylated hemoglobin level, incidence of adverse pregnancy outcomes,psychological state scores were analyzed in the two groups.ResultsThere was no statistically significant difference in the levels of FPG, 2 hPG and HbAlc between the two groups before intervention(P>0.05);after the intervention, the levels of FPG, 2 hPG, and HbA1c in the two groups were significantly decreased, and compared with the control group, the above indicators in the study group decreased more significantly, the difference was statistically significant(P<0.05). The incidence of adverse pregnancy outcomes in the study group was 5.25%, which was lower than9.50% in the control group, and the difference was statistically significant(P<0.05). Before intervention, the SAS and SDS scores of the two groups were not statistically significant(P>0.05);after the intervention, the SAS and SDS scores of the two groups were decreased, and the decrease of the SAS and SDS scores of the study group was higher than that of the control group, and the differences were statistically significant(P<0.05).ConclusionThe application of exercise nursing mode to GDM patients can not only effectively control the blood glucose index of patients, reduce the incidence of adverse pregnancy outcomes, but also effectively improve the psychological state and nursing satisfaction of patients, which has good clinical promotion value.