摘要
目的探讨妊娠期糖尿病产后护理中给予营养均衡饮食疗法结合激励式健康教育的作用。方法选取2019年2月—2020年6月在该院进行分娩的90例妊娠期糖尿病产妇作为研究对象,按照随机数表法分成观察组与对照组,每组45例。对照组给予常规产后护理干预,观察组给予营养均衡饮食疗法结合激励式健康教育干预,比较两组血糖及血脂水平、负性情绪、自我效能感。结果与干预前比较,两组干预后空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbAlc)水平均有明显降低,差异有统计学意义(P<0.05),观察组FPG、2 hPG、HbAlc水平均明显低于对照组,差异有统计学意义(P<0.05);两组干预后三酰甘油(TG)、总胆固醇(TC)水平均有明显降低,差异有统计学意义(P<0.05),观察组TG、TC水平均明显低于对照组,差异有统计学意义(P<0.05);两组干预后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均有明显降低,观察组SDS、SAS评分均明显低于对照组,差异有统计学意义(P<0.05);两组干预后一般自我效能感量表(CSES)评分均有明显提高,观察组CSES评分明显高于对照组,差异有统计学意义(P<0.05)。结论营养均衡饮食疗法结合激励式健康教育用于妊娠期糖尿病产后护理效果较好,可明显调节产妇血糖、血脂水平,减少负性情绪的产生,提高产妇自我效能感。
Objective To explore the role of nutritionally balanced diet therapy combined with motivational health education in postpartum nursing of gestational diabetes. Methods 90 pregnant women with gestational diabetes who gave birth in the hospital from February 2019 to June 2020 were selected as the research objects. They were divided into observation group and control group according to the random number table method, 45 cases in each group, and the control group was given regular postpartum nursing intervention, the observation group was given nutritional balanced diet therapy combined with stimulating health education intervention, and the blood glucose and blood lipid levels, negative emotions, and self-efficacy of the two groups were compared. Results Compared with before the intervention, the levels of fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG), and glycosylated hemoglobin(HbAlc) after the intervention of the two groups were significantly reduced, the difference was statistically significant(P <0.05). The levels of FPG, 2 hPG and HbAlc in the observation group were significantly lower than the control group, the difference was statistically significant(P <0.05);compared with before the intervention, the levels of triglyceride(TG) and total cholesterol(TC) in the two groups were significantly reduced after the intervention, the difference was statistically significant(P<0.05). The levels of TG and TC in the observation group were significantly lower than the control group, the difference was statistically significant(P<0.05);compared with before the intervention, the scores of the self-rating depression scale(SDS) and the self-rating anxiety scale(SAS) of the two groups after the intervention were significantly reduced, the observation group of the scores of SDS and SAS were significantly lower than those of the control group, the difference was statistically significant(P<0.05);compared with before the intervention, the general self-efficacy scale(CSES) scores of the two groups were significantly improved after the intervention, and the CSES score of the observation group was significantly higher than the control group,the difference was statistically significant(P <0.05). Conclusion Nutritional balanced diet therapy combined with motivational health education for postpartum care of gestational diabetes has a better effect. It can significantly adjust the blood glucose and blood lipid levels of the mother, reduce the generation of negative emotions, and improve the self-efficacy of the mother.
作者
林艺容
LIN Yirong(Department of Obstetrics,Xiamen Maternity and Child Health Hospital,Xiamen,Fujian Province,361001 China)
出处
《糖尿病新世界》
2021年第23期109-112,共4页
Diabetes New World Magazine
关键词
营养均衡饮食疗法
激励式健康教育
妊娠期糖尿病
产后护理
Nutritionally balanced diet therapy
Motivational health education
Gestational diabetes
Postpartum care
