摘要
目的分析膳食营养联合抗阻锻炼护理干预对妊娠期糖尿病妊娠结局以及产后糖代谢异常的影响。方法纳入2023年1—12月在医院建档立卡和分娩的68例妊娠期糖尿病孕产妇作为研究对象,按照组间一般资料可比性原则分为对照组和观察组,每组34例。对照组给予常规护理,观察组则在对照组基础上给予膳食营养联合抗阻锻炼护理干预,比较两组干预前和干预1个月、3个月后的血糖情况和生活质量,统计两组的孕产妇妊娠结局和产后不良情况、新生儿不良结局以及产后糖代谢异常发生率。结果随干预时间延长两组孕产妇空腹血糖(FPG)、餐后2 h血糖(2 h PBG)和糖化血红蛋白(Hb A1c)以及中文版糖尿病特异性生存质量量表(CN-ADDQOL)评分水平逐渐下降,不同时间间比较差异具有统计学意义(P_(时间)<0.05),干预后1个月、干预后3个月后观察组孕产妇FPG、2hPBG和HbA1c指标水平以及CN-ADDQOL评分均低于对照组,差异有统计学意义(P组间<0.05),而且随着观察时间延长,两组间FPG、2 hPBG差异逐渐增大,HbA1c差异逐渐缩小,且两组间CN-ADDQOL评分差异逐渐缩小,差异有统计学意义(P_(交互)<0.05)。观察组孕产妇妊娠结局优于对照组,差异有统计学意义(P<0.05)。观察组孕产妇的产后不良情况总发生率低于对照组,差异有统计学意义(P<0.05)。观察组新生儿不良结局总发生率和产后糖代谢异常发生率低于对照组,差异有统计学意义(P<0.05)。结论膳食营养联合抗阻锻炼护理干预不仅可更好地控制妊娠期糖尿病孕产妇的血糖,提高其孕期生活质量和顺产率,还可降低新生儿不良结局发生率和孕产妇产后糖代谢异常发生风险。
Objective To analyse the effect of dietary nutrition combined with resistance exercise nursing intervention on pregnancy outcome of gestational diabetes mellitus and postnatal glucose metabolism abnormality.Methods 68 cases of pregnant women with gestational diabetes mellitus who had been documented and delivered in the hospital from January to December 2023 were included as the study subjects,they were divided into a control group and an observation group according to the principle of comparability of general information between the groups,with 34 cases in each group.The control group was given routine nursing,the observation group was given dietary nutrition combined with resistance exercise intervention nursing on the basis of the control group,comparing the glycaemic conditions and quality of life of the two groups before the intervention and 1 month and 3 months after the intervention,the maternal pregnancy outcomes and postnatal outcomes,adverse neonatal outcomes,and the incidence of postnatal glycaemic abnormalities in the two groups were counted.Results The levels of fasting glucose(FPG),2 h postprandial blood glucose(PBG)and glycated haemoglobin(HbA1c)as well as the score of Chinese version of Diabetes Specific Quality of Life Scale(CN-ADDQOL)gradually decreased with the prolongation of the intervention time in the two groups,the difference was statistically significant when comparing the two groups at different times(P<0.05),the observation group after 1 month after the intervention and 3 months after the intervention.FPG,PBG and HbA1c index levels as well as CN-ADDQOL scores were lower than those of the control group,the differences were statistically significant(P<0.05),and with the prolongation of the observation time,the differences between the two groups in terms of FPG and PBG gradually increased,and the differences in terms of HbA1c gradually decreased,and the differences in terms of CN-ADDQOL scores between the two groups gradually decreased,the differences were statistically significant(P<0.05).The pregnancy outcome of pregnant women in the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse postnatal conditions among the pregnant women in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse neonatal outcomes and the incidence of abnormal postnatal glucose metabolism in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dietary nutrition combined with resistance exercise nursing intervention can better control the blood glucose of pregnant women with gestational diabetes mellitus,improve the maternal quality of life and normal births rate,but also reduce the bad neonatal outcome and maternal risk of postpartum glucose metabolism abnormality.
作者
徐兵
张梦洁
夏敏艳
李娟
周晓叶
XU Bing;ZHANG Mengjie;XIA Minyan;LI Juan;ZHOU Xiaoye(Zhangjiagang Hospital Affiliated to Suzhou University,Zhangjiagang 215600,China)
出处
《护理实践与研究》
2025年第6期822-828,共7页
Nursing Practice and Research
基金
张家港市科学技术局科技计划项目(编号:20220230)。
关键词
膳食营养
抗阻锻炼
妊娠期糖尿病
妊娠结局
产后糖代谢异常
新生儿结局
Dietary nutrition
Resistance exercise
Gestational diabetes mellitus
Pregnancy outcome
Postpartum glycaemic abnormalities
Neonatal outcome
