摘要
目的研究妊娠期糖尿病(GDM)患者应用基于结构-过程-结果三维质量评价的延续性护理干预的效果。方法选择80例在该院门诊产前检查GDM患者为研究对象,按照入院建档顺序均分为两组。对照组患者(40例)应用常规延续性护理干预,观察组患者(40例)应用基于结构-过程-结果三维质量评价的延续性护理干预。采用妊娠糖尿病患者自我管理能力问卷(SMQGDM)评价患者自我管理能力。对比两组干预前后糖代谢指数[空腹血糖(FPG)、糖化血红蛋白(HbAlc)和餐后2 h血糖水平(2 hPG)],依据糖尿病孕妇生活质量特异性量表(DSQL)评价患者生活质量,观察并统计患者妊娠结局情况。结果相比于治疗前,两组治疗后的FPG、HbAlc和2 hPG水平均下降,DSQL量表治疗、生理、心理和社会关系4个维度的评分均下降,观察组均低于对照组;SMQGDM问卷GDM相关知识、自我管理方法与行为、社会支持和信念与态度4个维度的评分均升高,且观察组均明显高于对照组,差异有统计学意义(P<0.05)。观察组患者顺产率(95.00%)高于对照组80.00%,不良妊娠结局发生率低于对照组,两组对比差异有统计学意义(P<0.05)。结论给予基于结构-过程-结果三维质量评价干预的GDM患者干预后的糖代谢指标改善,自我管理能力和生活质量提升,妊娠结局良好。
Objective To study the effect of continuous nursing intervention based on structure-process-outcome three-dimensional quality evaluation in patients with gestational diabetes mellitus(GDM).Methods A total of 80 patients with GDM who underwent prenatal examination in the hospital were selected as the research objects,and were divided into two groups according to the order of admission and filing.The patients in the control group(40 cases)were applied with conventional continuous nursing intervention,and the patients in the observation group(40 cases)were applied with the continuous nursing intervention based on the three-dimensional quality evaluation of structure-process-result.The self-management ability of patients with gestational diabetes mellitus(SMQGDM)was evaluated.The glucose metabolism indexes[fasting blood glucose(FPG),glycated hemoglobin(HbA1c)and 2 h postprandial blood glucose(2 hPG)]were compared between the two groups before and after the intervention.The quality of life of the patients was evaluated according to the Diabetic Pregnant Women's Quality of Life-Specific Scale(DSQL),and the pregnancy outcomes of the patients were observed and counted.Results Compared with before treatment,the levels of FPG,HbA1c and 2 hPG in the two groups decreased after treatment,and the scores of the four dimensions of DSQL scale treatment,physiology,psychology and social relationship decreased,and the observation group was lower than the control group.The scores of the four dimensions of GDM-related knowledge,self-management methods and behaviors,social support,and beliefs and attitudes in the SMQGDM questionnaire were all increased,and the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).The natural delivery rate(95.00%)in the observation group was higher than that in the control group 80.00%,and the incidence of adverse pregnancy outcomes was lower than that in the control group,the difference was statistically significant between the two groups(P<0.05).Conclusion GDM patients who were given the intervention based on structure-process-result three-dimensional quality evaluation have improved glucose metabolism indexes,improved self-management ability and quality of life,and have good pregnancy outcomes.
作者
陆艳榕
薛海华
达一磊
LU Yanrong;XUE Haihua;DA Yilei(Department of Obstetrics and Gynecology,Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University(Nanjing Maternal and Child Health Hospital),Nanjing,Jiangsu Province,210004China)
出处
《糖尿病新世界》
2022年第5期9-13,共5页
Diabetes New World Magazine
关键词
妊娠期糖尿病
三维质量评价
延续性护理
自我管理能力
糖代谢指数
生活质量
妊娠结局
Gestational diabetes
Three-dimensional quality assessment
Continuous nursing
Self-management ability
Glucose metabolism index
Quality of life
Pregnancy outcome
