摘要
目的探讨健康教育联合均衡饮食疗法在妊娠期糖尿病患者产后护理中的应用价值。方法选取本院收治的妊娠期糖尿病患者68例,按照随机数字表法分为两组,每组34例,对照组采用常规护理,观察组在此基础上采用健康教育联合营养均衡饮食疗法。比较两组血糖指标、营养指标及自我效能评分。结果出院前1 d,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平比较,无显著差异(P>0.05);产后28 d,观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于对照组,差异显著(P<0.05)。产后14、28 d,观察组总胆固醇水平低于对照组,白蛋白及转铁蛋白水平均高于对照组,差异显著(P<0.05)。干预前,两组一般自我效能感量表(CSES)评分比较,无显著差异(P>0.05);干预后,两组CSES评分均升高,且观察组(29.33±5.45)分高于对照组的(23.71±6.02)分,差异显著(P<0.05)。结论健康教育联合营养均衡饮食疗法可提高妊娠期糖尿病患者的自我效能感,有利于其血糖及营养指标的改善。
Objective To explore the application value of health education combined with nutritionally balanced diet therapy in postpartum care of patients with gestational diabetes mellitus.Methods 68 patients with gestational diabetes mellitus admitted to our hospital were selected and were divided into two groups according to the random number table method,with 34 cases in each group.The control group received routine nursing,and the observation group received health education combined with nutritionally balanced diet therapy on this basis.The blood glucose index,nutrition index and self-efficacy score were compared between the two groups.Results There was no signifi cant diff erence between the two groups in fasting blood glucose,postprandial blood glucose and glycosylated hemoglobin one day before discharge(P>0.05);on postpartum day 28,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group,with signifi cant differences(P<0.05).On postpartum day 14 and 28,the levels of total cholesterol in the observation group were lower than those in the control group,and the levels of albumin and transferrin were higher than those in the control group,with significant differences(P<0.05).Before intervention,there was no signifi cant difference in the score of general self-efficacy scale(GSES)between the two groups(P>0.05);after intervention,the GSES scores of the two groups were increased,and the score of the observation group was(29.33±5.45)points,which was higher than(23.71±6.02)points of the control group,with significant differences(P<0.05).Conclusion Health education combined with nutritionally balanced diet therapy can improve the self-efficacy of patients with gestational diabetes mellitus,and help to improve their blood glucose and nutritional indicators.
作者
刘建红
梁必会
Liu Jianhong;Liang Bihui(Department of Obstetrics,Yancheng Maternal and Child Health Hospital,Yancheng 224002,China;Department of Nursing,Yancheng Maternal and Child Health Hospital,Yancheng 224002,China)
出处
《实用妇科内分泌电子杂志》
2022年第17期102-104,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
妊娠期糖尿病
健康教育
营养均衡饮食疗法
产后护理
护理效果
Gestational diabetes mellitus
Health education
Nutritionally balanced diet therapy
Postpartum nursing
Nursing eff ect
