摘要
目的探讨健康行为互动模式(IMCHB)下全程护理干预对妊娠糖尿病(GDM)产妇妊娠结局及产后母乳喂养情况的影响。方法回顾性收集2022年4月至2023年3月郑州大学第一附属医院收治的106例GDM产妇病例,根据护理方式,将接受常规护理的产妇分为对照组,接受IMCHB下全程护理的产妇分为观察组,各53例。统计对比两组不良妊娠结局发生情况、遵医行为及干预前、出院前1 d血糖水平[空腹血糖(FPG)、餐后2 h血糖(2 h PG)]、心理状态[爱丁堡产后抑郁量表(EPDS)、贝壳焦虑量表(BAI)]、母乳喂养自我效能[母乳喂养自我效能量表(BSES)]、社会支持[社会支持评定量表(SSRS)]。结果出院前1 d观察组FPG、2 h PG水平低于对照组(P<0.05);出院前1 d观察组EPDS、BAI评分低于对照组,BSES、SSRS评分高于对照组(P<0.05);观察组总发生率(9.43%)低于对照组(24.53%),遵医总依从率(98.11%)高于对照组(83.02%)(P<0.05)。结论IMCHB下全程护理干预应用于GDM产妇,能改善母婴结局,提高母乳喂养效能、遵医行为水平,有效控制血糖,减轻不良心理,提升社会支持水平。
Objective To explore the effect of whole course nursing intervention on pregnancy outcome and postpartum breastfeeding of pregnant women with gestational diabetes mellitus(GDM)under the interactionmodel of client health behavior(IMCHB).Methods A total of 106 cases of GDM maternal medical records in the First Affiliated Hospital of Zhengzhou University from April 2022 to March 2023 were retrospectively collected,the puerpera who received routine nursing were divided into control group,and the puerpera who received whole course nursing under IMCHB were divided into observation group according to different nursing methods,with 53 cases in each group.The incidence of adverse pregnancy outcomes and compliance behavior were compared between the two groups,as well as the blood glucose levels[fasting plasma glucose(FPG),2 hours postprandial blood glucose(2 h PG)],psychological status[Edinburgh postnatal depression scale(EPDS),Beck anxiety inventory(BAI)],breastfeeding self-efficacy[breastfeeding self-efficacy scale(BSES)],social support[social support rating scale(SSRS)]before intervention and 1 day before discharge.Results The levels of FPG and 2 h PG in the observation group were lower than those in the control group 1 day before discharge(P<0.05).One day before discharge,the scores of EPDS and BAI of the observation group were lower than those of the control group,while the scores of BSES and SSRS of the observation group were higher than those of the control group(P<0.05).The total incidence in the observation group(9.43%)was lower than that in the control group(24.53%),and the total compliance rate(98.11%)was higher than that in the control group(83.02%)(P<0.05).Conclusion The application of whole course nursing intervention under IMCHB in GDM pregnant women can improve maternal and infant outcomes,improve breastfeeding efficiency,medical compliance,effectively control blood glucose,reduce adverse psychology,and improve the level of social support.
作者
于新佳
李莉
周玉英
杜沛
臧怡
YU Xinjia;LI Li;ZHOU Yuying;DU Pei;ZANG Yi(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
2026年第4期726-729,共4页
Henan Medical Research
关键词
妊娠糖尿病
健康行为互动模式
全程护理
妊娠结局
母乳喂养情况
gestational diabetes mellitus
interactionmodel of client health behavior
whole course nursing
pregnancy outcome
breastfeeding
