摘要
目的:观察正向情绪引导下的健康宣教联合个体化医学营养治疗(IMNT)对交界性糖耐量异常孕妇孕期营养行为、疾病感知压力及母婴结局的影响。方法:2019年1月到2023年10月,选取某院交界性糖耐量异常患者200例作为研究对象,使用计算机随机分组法将所有患者分成每组100例的观察组、对照组。对照组给予常规护理干预+IMNT,观察组给予常规护理干预+IMNT+正向情绪引导下的健康宣教,比较两组患者孕期营养行为、母婴结局差异,记录两组患者干预前后疾病感知压力[压力知觉量表(PSS)]水平及血糖水平[空腹血糖(FPG)、餐后2h血糖(2hPG)]并比较。结果:比较两组患者孕期营养行为,观察组数据明显优于对照组(t=2.686,3.406,3.269,3.412,2.716,10.769,2.928,3.358,4.581,6.354;P<0.05);干预后,两组患者事件压力、应对资源、心理紧张、认知压力评分及FPG、2hPG水平明显降低(t=16.325,14.312,14.493,16.095,14.965,12.369,13.234,13.524,22.998,24.582,18.185,20.978;P<0.05),且观察组明显低于对照组(t=2.066,2.760,2.190,2.935,3.041,2.827;P<0.05);比较两组患者母婴结局,观察组剖宫产、早产儿、巨大儿发生率明显低于对照组(χ^(2)=6.587,4.688,4.031;P<0.05),羊水异常、贫血、胎膜早破、低血糖、黄疸发生率组间比较,差异无统计学意义(P>0.05)。结论:将正向情绪引导下的健康宣教联合IMNT干预应用于交界性糖耐量异常孕妇可有效改善患者孕期营养行为、母婴结局,并降低其疾病感知压力及血糖水平。
Objective:To observe the influence of positive emotion-guided health education combined with individualized medical nutrition therapy(IMNT)intervention on nutritional behaviors during pregnancy,disease perceived stress and maternal-infant outcomesin pregnant women with borderline gestational glucose intolerance(BGGI).Methods:From January 2019 to October 2023,200 patients with BGGI in the hospital were selected as the research subjects,and were divided into observation group and control group with 100 cases in each group according to the computer random grouping method.The control group was given routine nursing intervention+IMNT,while the observation group received routine nursing intervention+IMNT+positive emotion-guided health education.The differences in nutritional behaviors during pregnancy and maternal-infant outcomes were compared between groups.The disease perceived stress[perceived stress scale(PSS)]and blood glucose[fasting plasma glucose(FPG),2h postprandial plasma glucose(2hPG)]before and after intervention were recorded and compared.Results:The nutritional behaviors during pregnancy in observation group were significantly better compared to control group(t=2.686,3.406,3.269,3.412,2.716,10.769,2.928,3.358,4.581,6.354;P<0.05).After intervention,the scores of event stress,coping resources,psychological stress and cognitive stress and levels of FPG and 2hPG were significantly decreased in the two groups(t=16.325,14.312,14.493,16.095,14.965,12.369,13.234,13.524,22.998,24.582,18.185,20.978;P<0.05),and the above scores inobservation group were significantly lower(t=2.066,2.760,2.190,2.935,3.041,2.827;P<0.05).In terms of maternal-infant outcomes,the incidence rates of cesarean section,premature infants and macrosomia were significantly lowerin observation group(χ^(2)=6.587,4.688,4.031;P<0.05),but there were no statistical differences in the incidence rates of amniotic fluid abnormality,anemia,premature rupture of membranes,hypoglycemia and jaundice between groups(P>0.05).Conclusion:The application of positive emotion-guided health education combined with IMNT intervention in pregnant women with BGGI can effectively improve the nutritional behavior during pregnancy and maternal-infant outcomes,and reduce thedisease perceived stress and blood glucose.
作者
李爱敏
张红娟
任艳华
LI Aimin;ZHANG Hongjuan;REN Yanhua(Department of Obstetrics,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
2024年第10期1501-1506,共6页
China Journal of Health Psychology
基金
河南省2023年科技发展计划项目(编号:232102311085)。
关键词
交界性糖耐量异常
正向情绪引导
个体化医学营养治疗
健康教育
Borderline gestational glucose intolerance
Positive emotion-guided
Individualized medical nutrition therapy
Health education
