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孕妇学校在妊娠期糖尿病患者孕期保健中的应用效果(1)
http://www.100md.com 2019年4月25日 《中国当代医药》 2019年第12期
     [摘要]目的 探討孕妇学校在妊娠期糖尿病孕妇保健中的应用效果。方法 选取2016年5月~2018年5月我院收治的102例妊娠期糖尿病患者作为研究对象,采用随机数字表法将其分为对照组和试验组,每组各51例。对照组给予常规护理教育模式,试验组在其基础上采用孕妇学校护理模式进行有计划,全方位的健康教育。比较两组干预前后的自护能力水平变化,并观察两组的血糖控制情况。结果 干预前,两组各个方面的自护能力评分比较,差异无统计学意义(P>0.05)。干预后,两组的自护能力评分均高于干预前,差异有统计学意义(P<0.05),且试验组各个方面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)。干预前,两组的空腹血糖和餐后2 h血糖比较,差异无统计学意义(P>0.05);干预后,试验组的空腹血糖和餐后2 h血糖均低于对照组,差异有统计学意义(P<0.05)。结论 妊娠期糖尿病患者在孕期保健中应用孕妇学校模式能提高孕妇的自我护理能力,有效控制血糖水平,降低并发症的发生,值得临床推广应用。

    [关键词]妊娠期糖尿病;孕妇学校;健康宣教;自护行为

    [中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2019)4(c)-0237-03

    Application effect of pregnant school in pregnancy care for patients with gestational diabetes mellitus

    JI Yan

    Department of Obstetrics Outpatient, Jiangxi Maternal and Child Health Hospital, Nanchang 330006, China

    [Abstract] Objective To explore the effect of pregnant school in maternal health care of pregnant women with gestational diabetes mellitus (GDM). Methods From May 2016 to May 2018, 102 patients with GDM admitted in our hospital were selected as study subjects. The patients were divided into the control group and the experimental group according to random number table method, 51 cases in each group. The patients in the control group were given routine nursing education and the patients in the experimental group were given planned and comprehensive health education based on the model of pregnant women′s school nursing. The changes of self-care ability before and after intervention of GDM were compared and the blood sugar control of the two groups was observed. Results Before intervention, there was no significant difference in self-care ability scores between the two groups (P>0.05). After intervention, the self-care ability scores of the two groups were higher than those before intervention, and the differences were statistically significant (P<0.05), and the self-care ability scores of the experimental group were higher than those of the control group, and the differences were statistically significant (P<0.05). Before intervention, there was no significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups (P>0.05). After intervention, the fasting blood glucose and 2 h postprandial blood glucose in the experimental group were lower than those in the control group (P<0.05). Conclusion The application of school model in pregnancy care for GDM patients can improve the self-care ability of pregnant women, control blood sugar level more effectively and reduce complications, which is worthy of further clinical application., http://www.100md.com(嵇彦)
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