摘要
目的探究针对性饮食指导对妊娠期糖尿病患者血糖水平的影响,并分析其饮食治疗依从性的影响因素。方法回顾性分析本院收治的40例妊娠期糖尿病患者的病历资料,按照不同饮食指导方式将其分为观察组和对照组,每组20例。对照组接受常规饮食指导,观察组接受针对性饮食指导及定期随访。比较两组饮食指导前后的血糖水平,并分析影响两组饮食治疗依从性的主要因素。结果饮食指导前,两组的空腹血糖及餐后2 h血糖水平比较,差异无统计学意义(P>0.05);饮食指导后,观察组的空腹血糖及餐后2 h血糖分别为(4.86±1.35).(7.72±1.97)mmol/L,均低于对照组的(5.83±1.48).(9.06±1.93)mmol/L,差异有统计学意义(P<0.05)。全部40例患者中,对饮食治疗依从性好者28例,占70.0%;依从性差者12例,占30.0%。依从性好组患者的文化程度、在职比例、收入水平及社会支持情况均高于依从性差者,差异有统计学意义(P<0.05)。结论根据妊娠期糖尿病患者的具体情况给予其针对性饮食指导,可大大提高其饮食治疗依从性,从而更好地控制血糖水平,值得在临床推广使用。
Objective To explore the effect of targeted dietary guidance on blood glucose level in gestational diabetes mellitus patients and analyze the influencing factors of dietary treatment compliance.Methods The medical records of 40 patients with gestational diabetes mellitus admitted to our hospital were retrospectively analyzed,and they were divided into a study group and a control group according to different dietary guidelines,with 20 cases in each group.The control group received routine dietary guidance,and the study group received targeted dietary guidance and regular follow-up.The blood glucose levels before and after dietary guidance were compared between the two groups,and the main factors affecting the dietary treatment compliance were analyzed.Results Before dietary guidance,there were no significant differences in fasting blood glucose level and 2 h postprandial-blood glucose level between the two groups(P>0.05);After dietary guidance,fasting blood glucose and 2 h postprantal blood glucose in the study group were(4.86±1.35)and(7.72±1.97)mmol/L,respectively,which were lower than those in the control group(5.83±1.48)and(9.06±1.93)mmol/L,the differences were statistically significant(P<0.05).Among all 40 patients,28 patients had good compliance with diet treatment,accounting for 70.0%;and 12 patients had poor compliance,accounting for 30.0%.The education level,employment ratio,income level and social support of patients in the group with good compliance were higher than those in the group with poor compliance,and the differences were statistically significant(P<0.05).Conclusion According to the specific conditions of gestational diabetes mellitus patients given targeted dietary guidance,can greatly improve their dietary treatment compliance,so as to better control the level of blood sugar,worthy of clinical application.
作者
陆燕兰
Lu Yanlan(Department of Obstetrics and Gynecology,Gaoyao District Hospital of Traditional Chinese Medicine,Zhaoqing City,Zhaoqing 526100,China)
出处
《实用妇科内分泌电子杂志》
2022年第21期118-121,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
妊娠期糖尿病
针对性饮食指导
血糖水平
依从性
Gestational diabetes mellitus
Targeted dietary guidance
Blood sugar level
Compliance
