摘要
目的探讨妊娠期糖尿病的筛查以及患者认知观念对血糖的影响。方法选择2013年1月~2014年12月684例于我院行产前检查并确诊为妊娠期糖尿病患者78例作为研究对象,选取同期于我院行产前检查未确诊为妊娠期糖尿病78例作为对照组,并对所有患者的临床资料以及患者对妊娠期糖尿病的认识进行回顾性调查分析,观察对患者筛查后干预以及患者的认知干预对血糖的影响。结果妊娠期糖尿病筛查并进行干预,妊娠早中期干预效果要优于妊娠晚期干预,差异具有统计学意义（P〈0.05）;妊娠期糖尿病患者有糖尿病家族遗传史所占比例较大,差异具有统计学意义（P〈0.05）;且有妊娠期糖尿病的患者的健康知识以及观念不正确,接受孕期相关健康教育少,差异具有统计学意义（P〈0.05）。对妊娠期糖尿病患者进行认知干预,干预后患者的血糖水平较干预前降低,差异具有统计学意义（P〈0.05）。结论妊娠期糖尿病早期筛查并干预能在一定程度上降低患者的并发症,提高患者的认知行为可以有效改善患者妊娠期糖尿病的结局,值得临床上推广。
Objective To investigate the effect of screening for gestational diabetes mellitus and cognition on blood glucose. Methods 684 patients were received prenatal examination in our hospital from January 2013 to December 2014. Of whom, 78 patients were diagnosed as gestational diabetes mellitus and they were selected as research objects. 78 patients who were received prenatal examination but diagnosed as without gestational diabetes mellitus in our hospital during the same period were selected as the control group. Clinical data and knowledge of gestational diabetes mellitus of all patients were retrospectively investigated and analyzed. Effects of intervention after screening and cognitive intervention of all patients on blood glucose were observed. Results In intervention after the screening for gestational diabetes mellitus, the effect of early metaphase intervention was better than the later-stage intervention. The difference was statistically significant（P 0.05）. Gestational diabetes mellitus patients with a family history of diabetes mellitus accounted for a large proportion. The difference was statistically significant（P 0.05）. In addition, patients with gestational diabetes mellitus had wrong knowledge and concept and they accepted less pregnancy-related health education. The difference was statistically significant（P 0.05）. Cognitive intervention was given to patients with gestational diabetes mellitus. Blood glucose of after intervention of patients was decreased than that before intervention. The difference was statistically significant（P 0.05）. Conclusion Early screening and intervention for gestational diabetes mellitus can reduce complications of patients. Improvement of patients＇ cognitive behaviors can effectively improve the outcome of patients with gestational diabetes mellitus, worthy of clinical promotion.
出处
《中国医药科学》
2016年第4期87-89,100,共4页
China Medicine And Pharmacy
关键词
妊娠期糖尿病
筛查
认知行为
调查分析
Gestational diabetes mellitus
Screening
Cognitive behavior
Investigation and analysis
