精细化干预方案结合孕期合理运动在妊娠糖尿病 患者中的应用效果

Application effect of refined intervention program combined with reasonable exercise during pregnancy in patients with gestational diabetes mellitus

目的探索精细化干预方案结合孕期合理运动在妊娠糖尿病(GDM)患者中的应用效果。方法选取2020年12月至2022年12月泉州市妇幼保健院收治的140例GDM患者,按随机数字表法分为实验组(70例)和对照组(70例)。对照组接受常规护理,实验组接受精细化干预方案结合孕期合理运动干预。对比2组的血糖等指标。结果实验组在干预后的各项血糖指标水平均低于对照组(P均<0.05),且2组在干预后的血糖指标水平均低于干预前(P均<0.05)。干预后,实验组患者规律服药、科学饮食、合理运动、自我监测和定期复查5个维度的治疗健康行为依从性评分均高于对照组(P均<0.05),且2组均高于干预前(P均<0.05)。干预后,2组患者的生理职能、总体健康评分均明显高于干预前,精力、社会功能评分均低于干预前(P均<0.05);实验组在干预后的生理职能、总体健康、精力、社会功能和精神健康评分均高于对照组(P均<0.05)。实验组的妊娠期高血压发生率,以及羊水过多和新生儿低血糖的不良妊娠发生率均低于对照组(P均<0.05)。结论精细化干预方案结合孕期合理运动能有效控制GDM患者的血糖水平,提高患者的健康行为依从性和生活质量,减少羊水过多和新生儿低血糖的发生。

Objective To explore the application effect of refined intervention program combined with reasonable exercise during pregnancy in patients with gestational diabetes mellitus(GDM).Methods A total of 140 GDM patients admitted to Quanzhou Women's and Children's Hospital from December 2020 to December 2022 were selected and divided into an experimental group(70 cases)and a control group(70 cases)using a random number table method.The control group received routine nursing,and the experimental group received the refined intervention program combined with reasonable exercise intervention during pregnancy.The blood glucose and other indexes of the two groups were compared.Results The levels of various blood glucose indexes in the experimental group after intervention were lower than those in the control group(all P<0.05),and the blood glucose levels in both groups after intervention were lower than those before intervention(all P<0.05).After intervention,the treatment health behavior compliance scores of patients in the experimental group were higher than those in the control group in five dimensions of regular medication,scientific diet,reasonable exercise,self-monitoring and regular review(all P<0.05),and the above scores in both groups were higher than those before intervention(all P<0.05).After intervention,the physiological function and overall health scores of the two groups were significantly higher than those before intervention,and the energy and social function scores were lower than those before intervention(all P<0.05).After intervention,the physiological function,overall health,energy,social function and mental health scores of the experimental group were higher than those of the control group(all P<0.05).The incidence of gestational hypertension and adverse pregnancy rates of polyhydramnios and hypoglycemia of newborn in the experimental group were lower than those in the control group(all P<0.05).Conclusion The refined intervention program combined with reasonable exercise during pregnancy can effectively control blood glucose level in GDM patients,improve their compliance with health behavior and quality of life,and reduce the occurrence of gestational hypertension,as well as polyhydramnios and hypoglycemia of newborn.