5A护理模式对妊娠期糖尿病孕妇自我管理能力及母婴结局的影响

Infuence of 5A nursing mode on self-management ability and maternal and infant outcomes of pregnant women with gestational diabetes mellitus

目的分析5A护理模式对妊娠期糖尿病(GDM)孕妇自我管理能力及母婴结局的影响。方法选取86例GDM孕妇,依据随机数字表法分为对照组与观察组,各43例。对照组采取常规护理干预,观察组在对照组基础上采取5A护理模式干预。比较两组血糖水平、自我管理能力、母婴结局及护理满意度。结果观察组血糖水平低于对照组,差异有统计学意义(P<0.05)。观察组自我管理能力高于对照组,差异有统计学意义(P<0.05)。观察组不良母婴结局发生率(6.98%、6.98%)低于对照组(25.58%、23.26%),差异有统计学意义(P<0.05)。观察组护理总满意度(95.35%)高于对照组(79.07%),差异有统计学意义(P<0.05)。结论予以GDM孕妇5A护理模式干预的效果确切,可稳定孕妇血糖水平,提升孕妇自我管理能力,改善母婴结局,获得孕妇及家属认可。

Objective To analyze the influence of 5A nursing mode on self-management ability and maternal and infant outcomes of pregnant women with GDM.Methods 86 pregnant women with GDM were selected and divided into control group and observation group with 43 cases in each group according to random number table method.The control group received routine nursing,and the observation group received 5A nursing mode based on the control group.The blood glucose level,self-management ability,maternal and infant outcomes,nursing satisfaction of the two groups were analyzed.Results The blood glucose level in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The selfmanagement ability of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group(6.98%,6.98%)were lower than that in the control group(25.58%,23.26%),and the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group(95.35%)was higher than that of the control group(79.07%),and the difference was statistically significant(P<0.05).Conclusion The effect of 5A nursing mode intervention in pregnant women with GDM is accurate,which can stabilize the blood glucose level of pregnant women,improve the self-management ability of pregnant women,improve the outcome of maternal and infant,and gain the recognition of pregnant women and their families.