摘要
目的:探究营养门诊个体化医学营养干预联合心理行为干预对妊娠期糖尿病患者睡眠质量的影响。方法:选取2019年10月至2021年10月惠安县医院营养门诊收治的妊娠期糖尿病患者120例作为研究对象,按随机数字表法随机分为对照组和观察组,每组60例。对照组给予常规干预措施,观察组给予个体化医学营养干预联合心理行为干预。比较2组患者的睡眠质量、血糖及不良情绪变化情况。结果:干预后2组患者的PSQI各维度评分水平均较干预前下降(P<0.05),且观察组PSQI各维度评分显著低于对照组(P<0.05);FBG、PBG、Hb A1c等各指标水平均下降(P<0.05),且观察组各指标水平显著低于对照组(P<0.05);2组患者的SAS、SDS评分均在干预后明显下降(P<0.05),且观察组SAS、SDS评分显著低于对照组(P<0.05)。结论:个体化医学营养干预联合心理行为干预能有效改善妊娠期糖尿病患者的睡眠质量,并有效地改善和控制患者的血糖水平,同时能显著地降低患者的焦虑抑郁的程度,适宜在临床上更广泛地推广。
Objective:To explore the effect of individualized medical nutrition intervention combined with psychological and behavioral intervention in nutrition clinic on sleep quality of gestational diabetes mellitus patients.Methods:A total of 120 patients with gestational diabetes treated in the nutrition clinic of our hospital from October 2019 to October 2021 were randomly divided into two groups.The control group was given routine intervention measures,while the experimental group was given individualized medical nutrition intervention combined with psychological and behavioral intervention.The changes of sleep quality,blood glucose,and patients’ unhealthy emotions were compared between the two groups.Results:After intervention,the scores of all dimensions of Pittsburgh Sleep Quality Index(PSQI) in the two groups decreased,and the level of the experimental group was significantly lower than that of the control group(P<0.05).The levels of pre-meal blood glucose(FBG),posprandial blood glucose(PBG),glycosylated hemoglobin(Hb A1c) and other indexes decreased,and the indexes of the experimental group were significantly lower than those of the control group(P<0.05).The scores of Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) in both groups decreased significantly after the intervention,and the scores of the experimental group were significantly lower than those of the control group(P<0.05).Conclusion:Individualized medical nutrition intervention combined with psychological and behavioral intervention can effectively improve the sleep quality and blood glucose level of patients,and at the same time significantly reduce the degree of anxiety and depression,which is suitable for wider promotion.
作者
程志娟
CHENG Zhijuan(Department of Family Planning,Hui′an County Hospital,Hui′an 362100,China)
出处
《世界睡眠医学杂志》
2022年第9期1640-1643,共4页
World Journal of Sleep Medicine
关键词
妊娠期糖尿病
睡眠质量
营养疗法
Gestational diabetes mellitus
Sleep quality
Nutrition therapy
