认知行为干预结合延续性护理模式对高龄妊娠期糖尿病患者妊娠结局及生活质量影响

Effect of Cognitive Behavioral Intervention Combined with Continuous Nursing Mode on Pregnancy Outcome and Quality of Life in Elderly Patients with Gestational Diabetes Mellitus

目的 探讨认知行为干预结合延续性护理模式对高龄妊娠期糖尿病患者妊娠结局及生活质量的影响。方法 选取2019年1月-2022年1月山东省寿光市人民医院收治的126例高龄妊娠期糖尿病患者为研究对象,按照随机数表法分为研究组和对照组,各63例。对照组予以常规护理,研究组开展认知行为干预结合延续性护理,对比两组患者护理效果。结果 干预后,研究组在血糖监测管理、足部护理管理、饮食管理、运动管理4个维度的评分均显著高于对照组,差异有统计学意义(P<0.05);干预后,研究组妊娠期糖尿病知识掌握评分明显高于对照组,差异有统计学意义(P<0.05);研究组患者孕期增长体质量明显少于对照组,空腹血糖及餐后2 h血糖明显低于对照组,差异有统计学意义(P<0.05);研究组在情感职能、生理职能、社会功能、精神健康、总体健康5个维度的评分均明显高于对照组,差异有统计学意义(P<0.05);研究组不良妊娠结局发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 认知行为干预结合延续性护理模式运用于高龄妊娠期糖尿病患者护理中,有效提高了患者的自我管理水平,且在控制血糖、提高生活质量、改善妊娠结局等方面均有重要价值,值得推广。

Objective To explore the effect of cognitive behavioral intervention combined with continuous nursing mode on pregnancy outcomes and quality of life in elderly patients with gestational diabetes mellitus.Methods 126 elderly patients with diabetes in pregnancy who were admitted to Shouguang People's Hospital of Shandong Province from January 2019 to January 2022 were selected as the research objects,and were divided into the research group and the control group according to the random number table method,with 63 cases in each group.The control group received routine care,while the research group received cognitive behavioral intervention combined with continuous care to compare the nursing effects of the two groups of patients.Results After intervention,the research group scored significantly higher than the control group in four dimensions:blood glucose monitoring management,foot care management,dietary management,and exercise management,the difference was statistically significant(P<0.05).After intervention,the score of diabetes knowledge mastery in the research group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The growth body mass of the patients in the research group during pregnancy was significantly less than that in the control group,and the fasting plasma glucose and 2-hour postprandial blood glucose were significantly lower than those in the control group,the difference was statisti‐cally significant(P<0.05).The research group scored significantly higher than the control group in five dimensions of emotional function,physiological function,social function,mental health,and overall health,the difference was statis‐tically significant(P<0.05).The incidence of adverse pregnancy outcomes in the research group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of cognitive-behavioral intervention combined with continuous nursing mode in the nursing of elderly patients with gesta‐tional diabetes mellitus has effectively improved the self-management level of patients,and has important value in controlling blood glucose and body weight,improving quality of life,and improving pregnancy outcomes.It is worthy of promotion.