摘要
目的探究妊娠期糖尿病(gestational diabetes mellitus,GDM)患者应用5A护理模式的可行性。方法选择2021年6月—2022年6月期间来厦门市妇幼保健院就诊的GDM患者80例为研究对象,以随机数表法将其划分为各组40例患者的对照组与观察组。对照组患者实施常规护理,观察组患者实施5A护理,对比两组患者血糖水平、心理弹性以及自我管理水平。结果观察组患者空腹血糖(FPG)、餐后1h血糖(1hPG)、餐后2h血糖(2hPG)等血糖水平低于对照组,差异有统计学意义(P<0.05);观察组患者坚韧、忍受消极情绪、积极接受变化、控制以及精神影响的心理状态评分均显著高于对照组,差异有统计学意义(P<0.05);观察组患者血糖监测、运动锻炼、饮食控制、足部护理以及生活习惯的自我管理能力评分均显著高于对照组,差异有统计学意义(P<0.05)。结论GDM患者应用两种护理模式的对比之下,5A护理模式护理效果更加确切,对于患者调节血糖水平、改善心理弹性、提高自我管理行为能力等方面均有积极影响。
Objective To investigate the feasibility of applying the 5A care model in patients with gestational diabetes mellitus(GDM).Methods A total of 80 patients with GDM who visited Xiamen Maternal and Child Health Care Hospital from June 2021 to June 2022 were selected as subjects,they were divided into a control group and an observation group of 40 patients in each group by the digital random table method.The patients in the control group were given conventional care and the patients in the observation group were given 5A care,and the two groups were compared in terms of blood glucose level,psychological flexibility and self-management level.Results The blood glucose levels of fasting blood glucose(FPG),1 h postprandial blood glucose(1 hPG)and 2 h postprandial blood glucose(2 hPG)in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);patients in the observation group had significantly higher psychological status scores of toughness,tolerance of negative emotions,positive acceptance of change,control,and mental impact than the control group,the difference was statistically significant(P<0.05);self-management ability scores such as blood glucose monitoring,exercise,diet control,foot care,and lifestyle habits in the observation group were significantly higher than thosein the control group,the difference was statistically significant(P<0.05).Conclusion Under the comparison of the two care models applied to patients with GDM,the 5A care model has more definite care effects,and has a positive impact on patients’regulation of blood glucose level,improvement of psychological flexibility,and improvement of self-management behavior ability.
作者
曾春英
蒋晓娟
朱素贞
ZENG Chunying;JIANG Xiaojuan;ZHU Suzhen(Women and Children's Hospital of Xiamen University(Xiamen Maternal and Child Health Hospital),Obstetrics I,Xiamen,Fujian Province,361001 China)
出处
《糖尿病新世界》
2022年第23期154-157,共4页
Diabetes New World Magazine
关键词
妊娠期糖尿病
5A护理
血糖水平
心理弹性
自我管理能力
Gestational diabetes mellitus
5A care
Blood glucose level
Psychological resilience
Self-management ability
