| 刘薇,孟晶晶,腾飞,程丹丹,陈慧利.生活行为综合干预妊娠期糖尿病的效果评价[J].上海护理,2018,18(9): |
| 生活行为综合干预妊娠期糖尿病的效果评价 |
|
| DOI： |
| 中文关键词: 妊娠糖尿病 生活行为 综合干预 |
| 英文关键词:gestational diabetes Life behavior comprehensive intervention |
| 基金项目: |
|
| 摘要点击次数: 2116 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：探讨生活行为综合干预对妊娠糖尿病（GDM）患者临床预后的影响，为完善干预策略提供理论依据。方法：238例GDM患者随机分为对照组和干预组。对照组给予常规健康教育，实验组实施基于健康教育、膳食干预、运动干预、心理干预等生活行为综合干预。SPSS统计学软件分析评价两种干预方法的干预效果。结果：干预前，实验组与对照组基线资料中年龄、怀孕前体重、怀孕前BMI、文化程度、家族史、家庭年收入等均无差异（P>0.05）。干预后，实验组患者BMI、餐后血糖、甘油三酯、总胆固醇较干预前的降低量大于对照组，且均有统计学差异（P<0.05），但两组患者高密度脂蛋白及低密度脂蛋白的变化无统计学差异（P>0.05）；干预后，对照组出现早产（29.0%）、巨大儿（20.2%）的概率高于实验组（χ2=5.11, P=0.024; χ2=4.20, P=0.040），对照组患者并发妊娠高血压（6.5%）的概率高于实验组（3.5%）（P<0.05）。结论：综合干预在患者一般临床结局及改善妊娠相关并发症结局方面均优于对照组，值得进一步在大人群中推广应用。 |
| 英文摘要: |
| subject To inversitigaet the clinical outcomes of life behavior comprehensive intervention in patients with gestational diabetes mellitus (GDM), provide theoretical basis for perfecting the intervention strategies. Methods 238 GDM patients were randomly divided into control group and intervention group. Routine health education was given in the control group, life behavior comprehensive intervention was given in the experimental group, life behavior comprehensive intervention based on health education, dietary intervention, psychological intervention. SPSS statistical software was selected to analysis and evaluation the intervention effect between two intervention methods. Results Before intervention, there were no significant difference between the experimental group and control group in the baseline data of age, body weight, BMI before pregnancy, cultural level, family history and household income. After intervention, the decline level of BMI, postprandial blood glucose, triglyceride and total cholesterol quantity in the experimental group were greater than in the control group (P < 0.05), but there were no statistical difference in the change of high-density lipoprotein cholesterol and low density lipoprotein between two groups (P > 0.05); And after the intervention, the probability of premature birth(29.0%) and macrosomia(20.2%) in the control group were higher than in the experimental group(16.7% and 10.5%) (chi-square = 5.11, P = 0.024; chi-square = 4.20, P = 0.040), The probability of concurrent pregnancy-induced hypertension in control group is 6.5%, which was higher than in the experimental group(3.5%)(P<0.05).Conclusion The effect of comprehensive intervention in clinical outcomes and improve pregnancy-related complications were better than that in control group, so it’s worthy of further Promotion and application large groups of GDM. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
