摘要
目的探讨针对妊娠期糖尿病(gestational diabetes mellitus,GDM)高危人群进行干预,实施基于信念-动机-行为技巧模型(IMB理论模型)的个性化护理程序干预价值。方法选取2021年8月—2022年1月南京医科大学附属妇产医院收治住院治疗的168例GDM高危人群作为研究对象,按照随机数表法,分成观察组与对照组,每组84例。对照组采取常规护理干预,观察组则采取基于IMB理论模型导向的个性化护理程序,对比两组干预前、干预1个月与分娩时空腹血糖与糖化血红蛋白水平,母婴结局与并发症情况。结果两组干预1个月与分娩时空腹血糖、糖化血红蛋白水平均低于干预前,且观察组血糖水平低于对照组,差异有统计学意义(P<0.05)。观察组各项母婴不良结局与并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论以IMB理论模型导向的个性化护理程序,对于妊娠期糖尿病的血糖控制效果好,可以有效改善母婴妊娠结局,值得推广。
Objective To explore the intervention value of individualized nursing procedures based on the belief motivation behavior skill model(IMB theoretical model)for high-risk groups of gestational diabetes(GDM).Methods A total of 168 high-risk patients with GDM who were admitted to the Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University from August 2021 to January 2022 were selected as the study subjects,according to the random number table method,they were divided into observation group and control group with 84 cases in each group.The control group took routine nursing intervention,while the observation group took individualized nursing procedures based on the IMB theoretical model.Compare the fasting blood glucose and glycated hemoglobin levels before intervention,1 month of intervention,and delivery time,maternal and infant outcomes and complications between the two groups.Results The levels of abdominal blood glucose and glycated hemoglobin in the two groups after 1 month of intervention and delivery were lower than before intervention,and the blood glucose levels in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The incidence of adverse and complications maternal and infant outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The program of personalized care guided by the IMB theoretical model has a good effect on blood sugar control in gestational diabetes mellitus,and can effectively improve the pregnancy outcomes of mothers and infants,which is worthy of promotion.
作者
唐静
王娟
TANG Jing;WANG Juan(Department of Obstetrics,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University(Nanjing Maternal and Child Health Hospital),Nanjing,Jiangsu Province,210004 China)
出处
《糖尿病新世界》
2023年第7期123-126,共4页
Diabetes New World Magazine
关键词
IMB理论模型
个性化护理程序
妊娠期糖尿病
空腹血糖
糖化血红蛋白
母婴结局
IMB theoretical model
Personalized nursing program
Gestational diabetes mellitus
Fasting blood glucose
Glycosylated hemoglobin
Maternal and infant outcomes
