摘要
目的知信行营养管理联合ADOPT模式对超重/肥胖孕妇体重控制及妊娠结局的影响。方法选取2020年1月-2021年12月期间在医院行健康产检的120例超重/肥胖孕妇,采用随机数字表法分为对照组与观察组,各60例。对照组实施常规护理干预,观察组实施知信行营养管理联合ADOPT模式干预。比较两组体重控制情况、妊娠并发症及妊娠结局情况。结果观察组孕早期、孕中期及孕晚期体重增长均低于对照组(P<0.05);观察组妊娠期糖尿病(GDM)、胎膜早破发生率低于对照组(P<0.05);观察组剖宫产率及巨大儿发生率低于对照组(P<0.05)。结论知信行营养管理联合ADOPT模式可加强超重/肥胖孕妇体重控制效果,降低妊娠期并发症发生率,改善妊娠结局。
Objective To investigate the impact of the combination of knowledge-attitude-practice nutrition management and ADOPT model on weight control and pregnancy outcomes in overweight/obese pregnant women.Method 120 overweight/obese pregnant women who underwent health prenatal examinations in hospitals from January 2020 to December 2021 were selected and randomly divided into a control group and an observation group using a random number table method,with 60 cases in each group.The control group received routine nursing intervention,while the observation group received knowledge-attitude-practice nutrition management combined with ADOPT intervention.The weight control,complications of pregnancy and pregnancy outcomes were compared between the two groups.Results The weight gain in the observation group during early,mid,and late pregnancy was lower than that in the control group(P<0.05).The incidence of gestational diabetes(GDM)and premature rupture of membranes in the observation group was lower than that in the control group(P<0.05).The cesarean section rate and the incidence of macrosomia in the observation group were lower than those in the control group(P<0.05).Conclusion The combination of knowledge-attitude-practice nutrition management and ADOPT model can enhance the weight control effect of overweight/obese pregnant women,reduce the incidence of pregnancy complications,and improve pregnancy outcomes.
作者
李倩
李秀萍
张胜男
宋颍丽
LI Qjian;Li Xiu-ping;ZHANG Sheng-nan;SONG Ying-li(Obstetrical Department,Women&Infants hospital of Zhengzhou,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第5期110-112,共3页
Journal of Rare and Uncommon Diseases
基金
河南省医学科技攻关计划联合共建项目(LHGJ20220888)。
关键词
超重
肥胖
孕妇
知信行营养管理
ADOPT模式
体重控制
妊娠结局
Overweight
Obesity
Pregnant Women
Knowledge-attitude-practice Nutrition Management
ADOPT Mode
Weight Control
Pregnancy Outcome
