摘要
目的:探讨基于Kano理论的针对性服务需求干预对妊娠期糖尿病(GDM)患者的影响。方法:选取2023年1月至2023年12月于赣县区人民医院妇产科接受治疗的156例GDM患者作为研究对象。按护理方案,将其分为观察组(n=78,采取基于Kano理论的针对性服务需求干预)和对照组(n=78,采取常规护理措施干预)。比较两组患者干预前、干预12周后的血糖指标[空腹血糖(FPG)、餐后2小时血糖(2hPG)、糖化血红蛋白(HbA1c)]水平;随访至分娩,记录两组患者妊娠结局分娩方式(剖宫产、阴道顺产),母婴结局。结果:干预12周后,观察组患者的血糖指标水平均低于对照组,差异有统计学意义(P<0.05)。观察组患者阴道分娩率高于对照组,差异有统计学意义(P<0.05)。观察组患者并发症发生率、新生儿不良结局发生率低于对照组,差异有统计学意义(P<0.05)。结论:基于Kano理论的针对性服务需求干预可有效控制GDM患者血糖,改善不良妊娠结局。
Objective:To explore the influence of Kano theory-based targeted service demand intervention on patients with gestational diabetes mellitus(GDM).Methods:A total of 156 patients with GDM who were treated in the department of obstetrics and gynecology of Ganxian People's Hospital from January 2023 to December 2023 were selected as research subjects.According to the nursing plan,they were divided into observation group(n=78,received targeted service demand intervention based on Kano theory)and control group(n=78,received routine nursing intervention).The levels of blood glucose indicators[fasting plasma glucose(FPG),2-hour postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c)]were compared between groups before intervention and after 12 weeks of intervention.The pregnant women were followed up to delivery,and the pregnancy outcomes delivery modes(cesarean section,vaginal delivery),maternal-infant outcomes were recorded in the two groups.Results:After 12 weeks of intervention,the blood glucose indicators in observation group were lower than those in control group,and the differences were statistically significant(P<O.05).The vaginal delivery rate in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The complication rate and the incidence of adverse outcomes in neonates in observation group were lower those in control group,and the differences were statistically significant(P<0.05).Conclusion:Targeted service demand intervention based on Kano theory can effectively control blood glucose in GDM patients,and improve adverse pregnancy outcomes.
作者
许红花
周运志
陈华英
XU Honghua;ZHOU Yunzhi;CHEN Huaying(Department of Obstetrics and Gynecology,Ganxian People's Hospital,Ganzhou 341100,China;Ganxian District Maternal and Child Health Hospital Medical Department,Ganzhou 341100,China;Operating Room,Ganxian District Maternal and Child Health Hospital,Ganzhou 341100,China)
出处
《四川解剖学杂志》
2025年第5期97-99,106,共4页
Sichuan Journal of Anatomy
