群组孕期保健服务模式对妊娠期糖尿病患者血糖水平、分娩结局及心理状态的影响

摘要/Abstract

摘要： 目的分析群组孕期保健服务模式对妊娠期糖尿病患者血糖水平、分娩结局及心理状态的影响。方法选择2021年1月—2022年1月东莞市第八人民医院建档并计划分娩的妊娠期糖尿病孕妇共150例作为研究对象,使用随机数表法将其分为对照组和观察组,每组75例。对照组采取常规孕期保健服务干预,观察组在对照组基础上增加群组孕期保健服务模式干预。比较两组干预前后的血糖水平（空腹血糖、餐后2 h血糖及糖化血红蛋白）、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分,并比较两组分娩结局（自然分娩、胎儿窘迫、巨大儿、产后出血、妊娠期高血压）。结果干预前,两组空腹血糖、餐后2 h血糖及糖化血红蛋白指标比较,差异无统计学意义（P>0.05）;干预后,观察组的空腹血糖、餐后2 h血糖及糖化血红蛋白指标均低于对照组,差异有统计学意义（P<0.05）。观察组自然分娩率高于对照组,差异有统计学意义（P<0.05）,两组胎儿窘迫、巨大儿、产后出血、妊娠期高血压发生率比较,差异无统计学意义（P>0.05）。干预前,两组患者SAS、SDS量表评分比较,差异无统计学意义（P>0.05）;干预后,观察组SAS、SDS评分均低于对照组,差异有统计学意义（P<0.05）。结论群组孕期保健服务模式能够帮助妊娠期糖尿病患者调节血糖水平,提高自然分娩率,减少不良妊娠结局,且有助于改善患者心理状态,具有使用价值。

关键词: 群组孕期保健服务模式, 妊娠期糖尿病, 血糖水平, 分娩结局, 心理状态

Abstract: Objective To analyze the influence of group pregnancy health care service mode on blood sugar level, delivery outcome and psychological state of gestational diabetes mellitus patients. Methods A total of 150 pregnant women with gestational diabetes mellitus who filed in The Eighth People's Hospital of Dongguan from January 2021 to January 2022 and planned to give birth were selected as the research object, and were randomly divided into two groups, with 75 patients in each group. The control group received routine pregnancy care service, and the observation group added the intervention of group pregnancy care service mode. Blood glucose levels, anxiety and depression scores before and after intervention were compared between the two groups, and delivery outcomes were compared between the two groups. Results Before intervention, fasting blood glucose, 2h postprandial blood glucose and glycated hemoglobin indexes were not different between the two groups (P>0.05). After intervention, the fasting blood glucose, postprandial 2h blood glucose and glycated haemoglobin indices of the observation group were lower(P<0.05). The natural delivery rate in the observation group was higher(P<0.05). There were no differences in fetal distress, macrosomia, postpartum hemorrhage and hypertension during pregnancy between the two groups (P>0.05). Before intervention, there was no difference in SAS and SDS scores between the two groups (P>0.05). After intervention, the SAS and SDS scores of the observation group were lower(P<0.05). Conclusion The group pregnancy care service model can help to regulate the blood sugar level of gestational diabetes mellitus patients, improve the natural delivery rate, reduce the adverse pregnancy outcome, and help to improve the psychological state of patients, which is of great significance for popularization and use.

Key words: group pregnancy health care service model, gestational diabetes mellitus, blood sugar level, delivery outcome, psychology

中图分类号:

E473.71

伍杏云, 黄小斐. 群组孕期保健服务模式对妊娠期糖尿病患者血糖水平、分娩结局及心理状态的影响[J]. 中华养生保健, 2024, 42(19): 118-121.

WU Xing-yun, HUANG Xiao-fei. Effect of Group Pregnancy Health Care Service Model on Blood Sugar Level, Delivery Outcome and Psychological State of Gestational Diabetes Mellitus Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(19): 118-121.

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