摘要
目的:探讨以IMB理论模型为导向的个性化护理对妊娠糖尿病(GDM)患者的影响。方法:选取2020年6月-2022年6月于江阴市人民医院接受治疗的GDM患者80例作为研究对象,使用随机数字表法分为观察组和对照组,各40例。观察组接受以IMB理论模型为导向的个性化护理,对照组接受常规护理。比较两组患者妊娠并发症发生率、血糖指标、母婴结局。结果:观察组妊娠并发症发生率低于对照组,差异有统计学意义(P=0.047)。入组时,两组空腹血糖水平比较,差异无统计学意义(P>0.05);产前和产后2h,观察组血糖控制效果优于对照组,差异有统计学意义(P<0.05)。观察组新生儿不良结局发生率低于对照组,差异有统计学意义(P=0.010)。结论:以IMB理论模型为导向的个性化护理能有效提高GDM患者的血糖控制情况,降低妊娠并发症发生率,改善母婴结局,具有较高的应用价值。
Objective:To explore the impact of personalized care guided by the IMB theoretical model on patients with gestational diabetes mellitus(GDM).Methods:80 GDM patients who were treated in Jiangyin People's Hospital from June 2020 to June 2022 were selected as research subjects and divided into an observation group and a control group using the random number table method,with 40 cases in each group.The observation group received personalized care guided by the IMB theoretical model,and the control group received routine care.The incidence of pregnancy complications,blood sugar indicators,and maternal and infant outcomes were compared between the two groups.Results:The incidence of pregnancy complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.047);at the time of enrollment,there was no statistically significant difference in fasting blood glucose levels between the two groups(P>0.05);before and 2 hours after delivery,the blood sugar control effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05);the incidence rate of neonatal adverse outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.010).Conclusion:Personalized care guided by the IMB theoretical model can effectively improve the blood sugar control of GDM patients,reduce the incidence of pregnancy complications,and improve maternal and infant outcomes,and has high application value.
作者
王冬艳
Wang Dongyan(Department of Obstetrics,Jiangyin People's Hospital,Jiangyin 214400,Jiangsu Province,China)
出处
《中外医药研究》
2024年第3期126-128,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
IMB理论模型
个性化护理
妊娠糖尿病
并发症
IMB theoretical model
Personalized care
Gestational diabetes
Complications