同伴互助式护理干预结合个性化饮食指导在妊娠期糖尿病护理中的应用

Application of a peer-supportive care intervention combined with personalized dietary instruction in gestational diabetes care

目的 探讨同伴互助式护理干预结合个性化饮食指导在妊娠期糖尿病护理中的应用效果.方法 纳入2022年8月-2023年8月昌平区医院88例妊娠期糖尿病患者,将其按随机数字表法分为观察组和对照组,每组44例,对照组行常规护理干预,观察组接受同伴互助式护理干预结合个性化饮食指导,对比两组血糖控制情况、心理弹性各维度评分、妊娠不良结局发生情况.结果 ①干预前,两组血糖指标无显著差异,P>0.05;干预后,两组血糖指标均显著降低,且观察组空腹血糖(5.0±0.5)mmol/L、餐后2h血糖(7.1±1.6)mmol/L、糖化血红蛋白(5.9±0.4)%显著低于对照组,P<0.05;②干预后,观察组乐观(8.9±2.3)分、坚韧(17.4±3.5)分、自强与控制(28.0±3.2)分、总分(52.4±2.3)分均显著优于对照组,P<0.05;③观察组妊娠不良结局发生率为6.8%,对照组妊娠不良结局发生率为29.5%,P<0.05.结论 在妊娠期糖尿病患者的护理中,同伴互助式护理干预结合个性化饮食指导能显著改善患者血糖指标、负面情绪及妊娠结局.

Ob jective To explore the effect of peer mutual nursing intervention comhbined with personalized dietary guidance in gestational diabetes care.Methods In August 2022 to August 2023,Changping district hospital 88 patients with gestational diabetes,according to the method into random observation group and control group,each group 44 cases,control group line routine nursing intervention,observation group accept peer mutual nursing intervention combined with personalized diet guidance,compare two groups of blood glucose control,psychological resilience dimensions,adverse outcomes of pregnancy.Results OBefore the intervention,no significant differences in the glycemic index between the two groups,P>0.05;after the intervention,glycemic measures were significantly reduced in both groups,moreover,the fasting blood glucose(5.0±0.5)mmol/L,2h postprandial blood glucose(7.1±1.6)mmol/L,glycated hemoglobin(5.9±0.4)%were significantly lower than that of the control group,P<0.05;②After the intervention,the observation group of optimism(8.9±2.3),tenacity(17.4±3.5),self-improvement and control(28.0±3.2),total score(52.4±2.3)were significantly better than the control group,P<0.05;③The incidence of adverse pregnancy outcomes in the observation group was 6.8%,the incidence of adverse pregnancy outcomes in the control group was 29.5%,P<0.05.Conclusion In the care of gestational diabetes,peer mutual nursing intervention combined with personalized dietary guidance can significantly improve blood glucose index,reduce negative emotions and improvepregnancyoutcomes.