摘要
目的探究以“一日门诊”为基础的持续综合管理方案在妊娠期糖尿病患者管理中的应用效果评价。方法选取2020年11月—2021年11月在四川省成都市金牛区妇幼保健院建卡分娩的400例妊娠期糖尿病患者为研究对象,随机将其分为研究组与对照组各200例。对照组予常规诊疗,研究组予“一日门诊”为基础的持续综合管理,比较两组干预前后血糖、母婴结局、焦虑、抑郁评分的差异。结果干预前研究组空腹血糖、三餐后2 h血糖、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)分值与对照组比较差异无统计学意义(P>0.05)。干预后研究组空腹血糖、三餐后2 h血糖均低于对照组,研究组妊娠期高血压疾病、羊水过多、胎膜早破、剖宫产、巨大儿、新生儿低血糖、新生儿黄疸、胎儿生长受限发生率均低于对照组,差异均有统计学意义(均P<0.05)。两组早产发病率比较差异无统计学意义(P>0.05)。干预后研究组SAS、SDS评分均低于对照组,差异均有统计学意义(均P<0.05)。结论基于“一日门诊”的持续综合管理方案可有效改善妊娠期糖尿病患者的血糖水平、不良妊娠结局及焦虑抑郁状况。
Objective To explore the effects of continuous comprehensive management scheme in gestational diabetes melitus(GDM)patients based on‘one-day outpatient service’.Methods A total of 400 pregnant women with GDM who delivered in Jinniu Maternity and Child Health Hospital of Chengdu from Novermber 2020 to Novermber 2021 were selected as the research subjects.They were randomly divided into study group and control group,200 cases in each group.The control group received routine care,while the study group received a comprehensive management scheme.Their blood glucose,maternal and infant outcomes,anxiety and depression scores were compared pre-and post-intervention.Results There were no difference between 2 groups in fasting blood glucose,blood glucose 2 hours after three meals,scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)pre-intervention(P>0.05).Fasting blood glucose and blood glucose 2 hours after three meals in the study group were lower than those in the control group post-intervention(P<0.05).The incidence of pregnancy-induced hypertension,hydramnios,premature rupture of membranes,cesarean section,macrosomia,neonatal hypoglycemia,neonatal jaundice and fetal growth restriction in the study group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of preterm birth between 2 groups(P>0.05).SAS and SDS scores of the study group were lower than those of the control group post-intervention(P<0.05).Conclusion Continuous comprehensive management scheme based on‘one-day outpatient service’can effectively improve the blood glucose level,the occurrence of adverse pregnancy outcomes,and the anxiety and depression of pregnant women with GDM.
作者
杜雪莲
郭菊芳
刘海燕
周玲华
DU Xue Lian;GUO Ju Fang;LIU Hai Yan;ZHOU Ling Hua(Jinniu Maternity and Child Health Hospital of Chengdu,Chengdu 610036,Sichuan Province,China)
出处
《中国妇幼卫生杂志》
2022年第5期59-63,共5页
Chinese Journal of Women and Children Health
基金
中国疾病预防控制中心妇幼保健中心2020年度“母婴营养与健康研究项目”(2020FYH019)
关键词
一日门诊
妊娠期糖尿病
持续管理方案
焦虑
抑郁
one-day outpatient service
gestational diabetes melitus
continuous management scheme
anxiety
depression
