摘要
目的观察动机性访谈联合认知负荷式饮食教育对妊娠糖尿病(GDM)高危产妇血清Nesfatin-1、Visfatin和肽素水平及母婴预后的影响。方法随机选取2021年4月~2023年4月在我院就诊的100例GDM高危产妇作为研究对象,按照数字随机法分为对照组和观察组,每组50例。对照组产妇实施常规护理,观察组在常规护理的基础上给予动机性访谈联合认知负荷式饮食教育,比较不同护理模式下的护理效果。结果(1)两组产妇干预前后的血清Nesfatin-1、Visfatin及和肽素水平比较:干预前,两组产妇的血清Nesfatin-1、Visfatin及和肽素水平基本接近(P>0.05);干预后,两组产妇上述指标水平均有所下降,但观察组各指标下降得更加明显(P<0.05)。(2)两组母婴不良结局比较:对照组发生产妇妊娠不良结局的9例(18%),观察组3例(6%),观察组远远低于对照组(P<0.05)。两组婴儿中,对照组发生新生儿不良结局8例(16%);观察组发生新生儿不良结局3例(6%),观察组远远低于对照组(P<0.05)。(3)两组产妇护理干预前后的心理状态比较:干预前,两组产妇的SAS及SDS得分基本接近(P>0.05);干预后,两组产妇的SAS及SDS得分均有所下降,但观察组产妇两项得分下降得更加明显(P<0.05)。结论动机性访谈联合认知负荷式饮食教育的护理模式不仅可以改善GDM高危产妇血清Nesfatin-1、Visfatin和肽素水平及母婴预后,还可以缓解产妇的焦躁抑郁情绪,值得临床推广使用。
Objective To observe the effect of motivational interview combined with cognitive load diet education on the serum levels of Nesfatin-1,Visfatin and peptide in high-risk pregnant women with diabetes mellitus(GDM)and the prognosis of mothers and infants.Methods 100 high-risk GDM pregnant women who visited our hospital from April 2021 to April 2023 were randomly selected as the study subjects.They were divided into a control group and an observation group using a digital randomization method,with 50 cases in each group.The control group of parturients received routine care,while the observation group received motivational interviews combined with cognitive load based dietary education on the basis of routine care,to compare the nursing effects under different nursing modes.Results(1)Comparison of serum Nesfatin-1,Visfatin,and peptide levels between the two groups of parturients before and after intervention:Before intervention,the serum Nesfatin-1,Visfatin,and peptide levels of the two groups of parturients were basically similar(P>0.05);After intervention,the levels of the above indicators in both groups of postpartum women decreased,but the observation group showed a more significant decrease in all indicators(P<0.05).(2)Comparison of adverse maternal and infant outcomes between two groups:the control group had 9 cases(18%)of adverse maternal pregnancy outcomes,while the observation group had 3 cases(6%).The observation group was significantly lower than the control group(P<0.05).Among the two groups of infants,the control group had 8 cases of adverse neonatal outcomes,accounting for 16%;The number of cases with adverse neonatal outcomes in the observation group was 3,accounting for 6%.The observation group was much lower than the control group,and the difference between the two groups was statistically significant(P<0.05).(3)Comparison of psychological status between two groups of postpartum women before and after nursing intervention:Before nursing intervention,the SAS and SDS scores of the two groups of postpa
作者
周南
Zhou Nan(Zhengzhou Maternal and Child Health Hospital Obstetrics and Gynecology,Zhengzhou 450000,China)
出处
《华北理工大学学报（医学版）》
2024年第1期39-44,共6页
Journal of North China University of Science and Technology：Health Sciences Edition
关键词
妊娠糖尿病
高危产妇
动机性访谈
认知负荷式饮食教育
母婴预后
Gestational diabetes mellitus
High-risk parturients
Motivational interview
Cognitive load diet education
Maternal and infant prognosis
