摘要
目的观察在妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)患者护理中实施PBL式健康宣教,对其母婴结局的改善作用。方法选取2018年10月至2021年10月于北京市昌平区妇幼保健院妇产科接受治疗的GDM患者80例,随机分为对照组和观察组各40例。对照组实施常规护理管理,观察组在对照组的基础上实施PBL式健康宣教。于入院当日、出院前1 d对比两组患者血糖数值、妊娠结局,并使用自我管理能力评分量表(Exercise of Self-Care Agency Scale,ESCA)测评两组患者的自我管理能力量表评分。结果干预前,两组各项临床指标对比差异均无统计学意义(均P>0.05);干预后,对照组总妊娠不良结局率为32.50%,观察组总妊娠不良结局率为12.50%,前者总妊娠不良结局率及血糖指标均高于后者,差异有统计学意义(P<0.05)。观察组ESCA量表评分高于对照组,差异有统计学意义(P<0.05)。结论实施PBL式健康宣教能够最大程度上改善GDM患者的妊娠结局,降低其血糖数值。
Objective To observe the effect of PBL health education in the nursing of gestational diabetes mellitus(GDM)patients on the improvement of maternal and infant outcomes.Methods A total of 80 GDM patients who were treated in the Department of Obstetrics and Gynecology of Beijing Changping Maternal and Child Health Hospital from October 2018 to October 2021 were randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing management,while the observation group was given PBL health education on the basis of the control group.The blood glucose and pregnancy outcomes were compared between the two groups on the day of admission and one day before discharge.The Exercise of Self-Care Agency Scale(ESCA)was used to evaluate the self-management ability of the two groups.Results Before intervention,there was no statistically significant difference in clinical indicators between the two groups(P>0.05).After intervention,the total adverse pregnancy outcome rate of the control group was 32.50%,and the total adverse pregnancy outcome rate of the observation group was 12.50%,the total adverse pregnancy outcome rate and blood glucose index of the former were higher than those of the latter,and the difference was statistically significant(P<0.05).The ESCA score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions PBL health education can improve the pregnancy outcome of GDM patients to the greatest extent and reduce their blood glucose levels.
作者
冯可
郝慧静
黄倩
Feng Ke;Hao Huijing;Huang Qian(Obstetrics and Gynecology Department,Beijing Changping Maternal and Child Health Hospital,Beijing 102200,China)
出处
《国际护理学杂志》
2024年第7期1168-1172,共5页
international journal of nursing
基金
北京市自然科学基金项目(7092039)。
关键词
妊娠期糖尿病
PBL式健康宣教
母婴结局
自我管理
血糖变化
Gestational diabetes mellitus
PBL health education
Maternal and infant outcomes
Self-management
Blood glucose changes
