基于助产士主导的群组孕期保健模式对妊娠期糖尿病孕妇血糖控制及妊娠结局的影响

Effect of midwife led group pregnancy care model on blood glucose control and pregnancy outcome of gestational diabetes mellitus pregnant women

目的探究基于助产士主导的群组孕期保健模式对妊娠期糖尿病(GDM)孕妇血糖控制及妊娠结局的影响。方法选取2020年1月—2021年1月在医院产科建卡并定期产检孕妇300例为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,各150例。观察组予以基于助产士主导的群组孕期保健模式,对照组予以常规保健模式,对比两组干预后血糖水平、妊娠结局及孕妇心理状态。结果干预后观察组空腹、餐后2 h血糖及糖化血红蛋白水平低于对照组,差异有统计学意义(P<0.05);观察组剖宫产、妊娠期高血压综合征、巨大儿、胎儿宫内窘迫发生率低于对照组,差异有统计学意义(P<0.05);干预后观察组汉密尔顿抑郁量表、汉密尔顿焦虑量表评分低于对照组,差异有统计学意义(P<0.05)。结论基于助产士主导的群组孕期保健模式可有效降低GDM孕妇血糖水平,改善不良妊娠结局及负性心态。

Objective To explore the effect of midwife led group pregnancy care model on blood glucose control and pregnancy outcome of gestational diabetes mellitus(GDM)pregnant women.Methods To select 300pregnant women who had established obstetric card in the hospital and had regular antenatal examination from January 2020 to January 2021 as the research objects.According to the principle of balanced and comparable basic characteristics between groups,they were divided into control group and observation group,with 150cases each group.The observation group was given a group health care model based on midwife leading,while the control group was given a conventional health care model.The blood glucose level,pregnancy outcome and pregnant women’s psychological state after the intervention were compared between the two groups.Results After the intervention,the fasting blood glucose,2 hours postprandial blood glucose and glycated hemoglobin levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidences of cesarean section,pregnancy induced hypertension syndrome,macrosomia and fetal distress in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the Hamilton depression scale and Hamilton anxiety scale scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The group pregnancy health care model based on midwife can effectively reduce the blood glucose level of GDM pregnant women and improve the adverse pregnancy outcome and negative mentality.