| 周颖,常瑜,孙军侠.基于NNN-链接模式的个体化管理对妊娠期糖尿病患者妊娠结局的影响[J].上海护理,2022,22(10): |
| 基于NNN-链接模式的个体化管理对妊娠期糖尿病患者妊娠结局的影响 |
| The effect of NNN- linkages Individualized Management on pregnancy outcomes of patients with Gestational Diabetes MellitusWang Dong-mei, Sun Jun-xia,Bi Shu-jie,Han Hui-Jie, Lei Feng-ying(TangShan Xie-He hospital,HeBei TangShan, 063000) |
| DOI： |
| 中文关键词: 妊娠期糖尿病 NNN-链接模式 妊娠结局 健康管理 |
| 英文关键词:Gestational Diabetes Mellitus NNN-linkages model self-health management behavior pregnancy outcomes |
| 基金项目:河北省卫健委课题(20191630) |
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| 中文摘要: |
| S 目的 分析基于NNN-链接模式的个体化管理对妊娠期糖尿病(GDM)患者妊娠结局的影响,旨在为临床应用提供依据。方法 2017年6月至2019年6月选取我院符合GDM诊断标准患者563例为研究对象,投币法随机分为对照组和实验组,对照组接受常规门诊保健指导,实验组接受基于NNN-链接模式的个体化管理。干预前及干预后采用护理结局量表评估患者健康管理效果,并比较两组的妊娠结局。结果SS 干预后实验组患者的生保健决策、个人健康状况、健康信念、健康相关知识和行为、危险检测、治疗行为等评分评分均高于对照组,异有统计学意义(P＜0.05)；实验组妊娠期高血压疾病、孕期体重增长、胎膜早破、剖宫产、新生儿低血糖、巨大儿发生情况等低于对照组(P＜0.05)；两组产后出血、产后感染、新生儿窒息、高胆红素血症等情况比较,差异无统计学意义(P＞0.05)。结论 基于NNN-链接模式的个体化管理可提高GDM患者自我健康管理行为和自我照护能力、改善妊娠结局。建议对GDM患者的NNN-链接模式的个体化管理的推广应用。 |
| 英文摘要: |
| S Objective To analyze the effect of NNN- linkages individualized management on pregnancy outcomes of patients with Gestational Diabetes Mellitus(GDM), so as to providing a basis for clinical application. Methods 563 patients with GDM from September 2019 to September 2019 were selected as subjects and were randomly divided into the control group and the experimental group. The control group received routine general clinic education and the experimental group received NNN-linkages individualized management. The health outcomes and Pregnancy outcome were assessed. Results After intervention,the scores of health care decision-making, personal health status, health beliefs, health-related knowledge and behavior, risk detection, care self-guidance and treatment behavior significantly higher than those of the control group (P<0.05).The incidence of hypertensive disorders, abnormal body mass growth index, premature membranes rupture, cesarean section,the incidences of neonatal hypoglycemia and macrosomia was lower than those in the control group (P<0.05)；and there were no significant differences in postpartum hemorrhage, postpartum infection, neonatal asphyxia and hyperbilirubinemia between the two groups. Conclusion Individualized management based on NNN-linkages model can improve self-health management behavior and self-care ability of GDM patients, and improve pregnancy outcomes. It is suggested that the application of NNN-linkage individualized management of gestational diabetes mellitus should be promoted. |
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