孕期保健措施结合量化健康教育在妊娠期糖尿病中的护理效果及预后影响分析

Analysis of Nursing Effect and Prognostic Influence of Pregnancy Health Care Measures Combined with Quantitative Health

目的分析采取孕期保健措施结合量化健康教育对妊娠糖尿病患者的护理效果以及预后影响。方法选取2019年1月—2022年1月泉州市泉港区妇幼保健院妇产科所收治的妊娠期糖尿病孕妇70例,采取随机分组法将其均分为对照组(孕期保健措施进行干预,35例)与观察组(孕期保健措施结合量化健康教育进行干预,35例),比较两组孕妇的血糖水平、自我护理能力评分及妊娠结局、新生儿预后情况。结果干预后,观察组孕妇的空腹血糖水平(FPG)与餐后2 h血糖水平(2 hPG)均低于对照组,膳食控制、运动行为以及自我体质指数管理的自我护理能力评分均高于对照组,差异有统计学意义(P<0.05);观察组自然分娩率更高于对照组,早产率、剖宫产率、新生儿不良情况发生率均低于对照组,差异有统计学意义(P<0.05)。结论采取孕期保健措施结合量化健康教育护理方案合理科学使用在妊娠期糖尿病孕妇临床治疗过程中,有利于提升整体护理满意度与自然分娩率,同时还能够明显降低孕妇在分娩过程中不良情况的发生率,并且还可提升孕妇自我护理能力以及对健康知识的掌握度。

Objective To analyze the nursing effect and prognosis of patients with gestational diabetes mellitus by tak-ing health care measures during pregnancy combined with quantitative health education.Methods From January 2019 to January 2022,70 pregnant women with gestational diabetes mellitus admitted to the Department of Obstetrics and Gynecology of Quanzhou Quangang District Maternal and Child Health Hospital were randomly divided into control group(intervention during pregnancy health care measures,35 cases)and observation group(intervention during pregnancy health care measures combined with quantitative health education,35 cases).The blood glucose level,self-care ability score and pregnancy outcomes and neonatal prognosis of the two groups were compared.Results After intervention,the fasting blood glucose level(FPG)and 2 h postprandial blood glucose level(2 hPG)of pregnant women in the observation group were lower than those in the control group,and the scores of self-care ability in diet control,exercise behavior and self-body mass index management were higher than those in the control group,the dif-ferences were statistically significant(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,and the premature delivery rate,cesarean section rate and the overall incidence of neonatal ad-verse situation occurrence rate were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The rational and scientific use of pregnancy health care measures combined with quantitative health education and nursing programs in the clinical treatment of pregnant women with gestational diabetes mellitus is conducive to improving the overall nursing satisfaction and natural delivery rate.At the same time,it can signifi-cantly reduce the incidence of adverse situation occurrence rate in the delivery process of pregnant women,and can also improve the self-care ability of pregnant women and the mastery of health knowledge.