摘要
目的研究心理干预联合营养指导对妊娠期糖尿病(GDM)孕妇及新生儿的影响。方法选取80例GDM孕妇,采用随机数字表法将其分为参照组与观察组,每组40例。参照组开展常规护理,观察组在参照组基础上开展心理干预联合营养指导。比较两组护理效果。结果护理前,两组空腹血糖(FPG)、餐后2 h血糖(2h PG)及糖化血红蛋白(HbA1c)水平比较,差异无统计学意义(P>0.05);护理后,两组血糖均得到有效控制,且观察组FPG、2h PG及HbA1c均较参照组低(P<0.05)。护理前,两组心理状态评分比较,差异无统计学意义(P>0.05);护理后,两组心理状态均有明显改善,且观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较参照组低(P<0.05)。研究组不良母婴结局发生率5.00%低于参照组的22.50%(P<0.05)。结论心理干预联合营养指导方案可有效降低GDM孕妇的血糖水平,改善其心理状态,降低母婴不良结局发生风险,值得临床推广。
Objective To study the effects of psychological intervention combined with nutritional guidance on pregnant women and neonates with gestational diabetes mellitus(GDM).Methods 80 pregnant women with GDM were selected and divided into reference group and observation group with 40 cases in each group by random number table method.The reference group received routine nursing,and the observation group received psychological intervention combined with nutritional guidance on the basis of the reference group.The nursing effect of the two groups was compared.Results Before nursing,there were no significant differences in fasting blood glucose(FPG),2 h postprandial blood glucose(2h PG)and glycosylated hemoglobin(HbA1c)levels between the two groups(P>0.05).After nursing,blood glucose in both groups was effectively controlled,and FPG,2h PG and HbA1c in observation group were lower than those in reference group(P<0.05).Before nursing,there was no significant difference in mental state scores between the two groups(P>0.05).After nursing,the mental state of both groups was significantly improved,and the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the reference group(P<0.05).The incidence of adverse maternal and infant outcomes in the study group was 5.00% lower than that in the control group 22.50%(P<0.05).Conclusion Psychological intervention combined with nutritional guidance can effectively reduce the blood sugar level of pregnant women with GDM,improve their psychological state,and reduce the risk of adverse outcomes,which is worthy of clinical promotion.
作者
黄莺
Huang Ying(Department of Obstetrics and Gynecology,Gaoming People's Hospital of Foshan,Foshan 528500,China)
出处
《实用妇科内分泌电子杂志》
2022年第31期118-121,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
心理干预
营养指导
妊娠期糖尿病
孕妇
新生儿
Psychological intervention
Nutritional guidance
Gestational diabetes mellitus
Pregnant women
Newborn
