摘要
目的:探讨以自我效能理论为基础的运动干预对妊娠期糖尿病(GDM)患者的影响。方法:选取联勤保障部队第九〇九医院2021年1月—2022年5月收治的160例GDM患者作为研究对象,随机分为研究组和对照组,各80例。研究组给予以自我效能理论为基础的运动干预,对照组给予常规干预。比较两组干预前后的自我效能、血糖水平、盆底功能和不良妊娠结局发生情况。结果:干预3个月后,两组自我效能得分高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。干预3个月后,两组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。干预3个月后,两组盆底功能障碍性疾病(PFD)症状得分及PFD对日常生活影响得分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组不良妊娠结局发生率为1.25%,低于对照组的8.75%,差异有统计学意义(P<0.05)。结论:GDM患者应用以自我效能理论为基础的运动干预可提高自我效能,改善血糖,避免不良妊娠结局,有利于产后盆底功能恢复。
Objective:To explore the effect of exercise therapy intervention based on self-efficacy theory on patients with gestational diabetes mellitus(GDM).Method:A total of 160 GDM patients admitted to the 909th Hospital of the Joint Logistics Support Force from January 2021 to May 2022 were selected as the study subjects,and randomly divided into research group and control group,with 80 patients in each group.The research group received exercise intervention based on self-efficacy theory,while the control group received routine intervention.The self-efficacy,blood sugar levels,pelvic floor function before and after intervention,and adverse pregnancy outcomes of the two groups were compared.Result:After 3 months of intervention,the self-efficacy scores of the two groups was higher than that before the intervention,and the research group was higher than that in the control group,the difference was statistically significant(P<0.05).After 3 months of intervention,the fasting plasma glucose(FPG),2-hour postprandial blood glucose(2 h PG),and glycated hemoglobin(HbA1c)of the two groups were lower than those before intervention,and the research group were lower than those in the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the symptom scores of pelvic floor dysfunction disease(PFD)and the impact of PFD on daily life in both groups were lower than those before intervention,and the research group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the research group was 1.25%,which was lower than 8.75%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of exercise intervention based on self-efficacy theory in GDM patients can improve self-efficacy,improve blood sugar,avoid adverse pregnancy outcomes,and facilitate the recovery of postpartum pelvic floor function.
作者
沈冬梅
谭辉
吴阿敏
SHEN Dongmei;TAN Hui;WU Amin(The 909th Hospital of the Joint Logistics Support Force,Zhangzhou 363000,China;不详)
出处
《中外医学研究》
2023年第13期77-81,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
妊娠期糖尿病
自我效能理论
运动
盆底功能
不良妊娠结局
Gestational diabetes mellitus
Self-efficacy theory
Exercise
Pelvic floor function
Adverse pregnancy outcome
