Intervention effect of multi-mode combined nursing on gestational diabetes mellitus
多模式联合护理对妊娠期糖尿病患者的干预效果

摘要

目的 对妊娠期糖尿病患者实施多模式联合护理的干预效果。方法 抽取2020年5月-2022年5月期间在我院接受产检并在我院分娩的妊娠期糖尿病患者100例作为研究对象，以随机信封法将其平均分成参照组（n=50，接受常规护理）和观察组（n=50，接受多模式联合护理）两组，对两组患者血糖指标、依从性、生活质量以及母婴不良结局进行比较。结果 （1）干预后观察组患者空腹血糖（FBG）、餐后2h血糖（2hPBG）以及糖化血红蛋白（HbAlc）检测结果均低于参照组（P＜0.05）；（2）干预后观察组患者依从性评分、简易生活质量量表（SF-36）评分均高于参照组（P＜0.05）；（3）观察组羊多过多、胎膜早破、新生儿低血糖的发生率均低于参照组（P＜0.05）。结论 对妊娠期糖尿病患者实施多模式联合护理可显著提高患者的依从性，改善其生活质量，有利于降低患者血糖水平，并且可降低母婴不良结局发生风险。

Abstract

Objective The intervention effect of multimodal combined care for patients with gestational diabetes.
Methods Select 100 gestational diabetes patients examined in our hospital from May 2020 to May 2022, and randomly divided them into reference group (n=50, routine care) and observation group (n=50, multimodal combined care) to compare the blood glucose index, compliance, quality of life and adverse maternal and infant outcomes.
Results After intervention, the results of fasting blood glucose (FBG), 2-hour postprandial blood glucose (2hPBG) and glycosylated hemoglobin (HbAlc) in the observation group were lower than those in the control group. (2) after intervention, the scores of compliance and simple quality of life scale (SF-36) in the observation group were higher than those in the control group. (3) the incidences of excessive sheep, premature rupture of membranes and neonatal hypoglycemia in the observation group were lower than those in the control group.
Conclusion   Combined multimodal care for gestational diabetes patients can significantly improve the compliance, improve their quality of life, reduce the blood glucose level, and reduce the risk of adverse maternal and infant outcomes.