摘要
目的 分析个性化护理干预对妊娠糖尿病患者血糖及妊娠结局影响。方法 该研究总共纳入100例研究对象,均是2024年1月至2025年12月到医院诊治的妊娠糖尿病患者,以随机数字表法为分组原则,划分为对照组(常规护理,n=50)、试验组(个性化护理,n=50)。对比两组的血糖指标、不良妊娠结局、心理状态、生活质量及自我管理能力。结果 在空腹血糖(FPG)、餐后2h血糖(2hPG)及糖化血红蛋白(HbAlc)水平上,试验组低于对照组(P<0.05)。在不良妊娠结局发生率上,试验组低于对照组(P<0.05)。在BAI评分、BDI评分及SF-36评分上,试验组优于对照组(P<0.05)。在自我护理意识评分、资源利用评分、孕期护理评分及血糖护理评分上,试验组高于对照组(P<0.05)。结论 针对妊娠糖尿病患者,实施个性化护理干预的效果良好,有助于下调血糖指标的表达水平,改善妊娠结局和心理状态,提升生活质量和自我管理能力。
关键词: 妊娠糖尿病;个性化护理;血糖指标;妊娠结局
Abstract
Objective To analyze the impact of personalized nursing intervention on blood glucose and pregnancy outcomes of patients with gestational diabetes. Methods A total of 100 research subjects were included in this study, all of whom were patients with gestational diabetes diagnosed and treated in the hospital from January 2024 to December 2025. Using the random number table method as the grouping principle, they were divided into the control group (conventional care, n=50) and the experimental group (personalized care, n=50). The blood glucose indicators, adverse pregnancy outcomes, psychological state, quality of life, and self-management ability of the two groups were compared. Results In terms of fasting blood glucose (FPG), 2-hour postprandial blood glucose (2hPG), and glycosylated hemoglobin (HbAlc) levels, the experimental group was lower than the control group (P<0.05). In terms of the incidence of adverse pregnancy outcomes, the experimental group was lower than the control group (P<0.05). In terms of BAI score, BDI score, and SF-36 score, the experimental group was better than the control group (P<0.05). In terms of self-care awareness score, resource utilization score, pregnancy care score, and blood glucose care score, the experimental group was higher than the control group (P<0.05). Conclusion For patients with gestational diabetes, implementing personalized nursing intervention has a good effect, which helps to lower the expression level of blood glucose indicators, improve pregnancy outcomes and psychological state, and enhance the quality of life and self-management ability.
Key words: Gestational diabetes; Personalized nursing; Blood glucose indicators; Pregnancy outcomes
参考文献 References
[1] 陈云英,龚惠菊,张爱美.优质护理下全方位护理干预对妊娠糖尿病并高血压患者血糖、血压水平及妊娠结局分析[J].糖尿病新世界,2023,26(7):157-160.
[2] 徐贵菊,朱晓志.个性化护理对妊娠期糖尿病患者血糖控制水平及自我管理能力的影响[J].中华养生保健,2023, 41(12):111-113.
[3] 孙晓晶.护理追踪式膳食指导对妊娠期糖尿病患者血糖控制情况及妊娠结局的影响[J].医学临床研究,2025, 42(2):358-360.
[4] 张丽凤.早期个性化护理联合健康教育在妊娠期糖尿病孕妇中的应用效果研究[J].黑龙江中医药,2024,53(5): 258-260.
[5] 陈文娟,曾丽娟,周秋婷,等.基于心理资本干预模型的团体护理对妊娠期糖尿病患者血糖水平及妊娠结局的影响[J].中国临床护理,2025,17(12):731-735.
[6] 贺乐,郑淑香.个性化营养指导在妊娠期糖尿病患者护理中的效果[J].智慧健康,2025,11(17):107-110.
[7] 刘迎迎,蒋春怡.跨理论模式下饮食计划护理对妊娠糖尿病患者血糖水平及妊娠结局的影响[J].中国医药导报, 2024,21(13):132-134.
[8] 李秀梅,刘爱霞,王秀珍.基于个性化护理的认知行为干预对妊娠期糖尿病患者生活质量的影响[J].糖尿病新世界,2024,27(12):143-146.
[9] 刘彩芹,曾荣,吴康.个性化综合护理干预对妊娠期糖尿病患者的临床效果及妊娠结局的影响分析[J].糖尿病新世界,2024,27(11):132-135.
[10] 徐丹.个性化护理干预对妊娠期糖尿病患者妊娠期间血糖水平及妊娠结局的影响[J].婚育与健康,2023,29(23): 88-90.
[11] 王冬艳.以IMB理论模型为导向的个性化护理对妊娠糖尿病患者的影响[J].中外医药研究,2024,3(3):126-128.
[12] 朱萍,丁晨晨.健康教育结合个性化饮食护理对妊娠糖尿病孕妇母婴结局的影响[J].妇儿健康导刊,2024,3(15): 137-140.
[13] 吴碧云.个性化护理策略的早期营养干预对妊娠期糖尿病孕产妇母婴结局及免疫功能的影响[J].黑龙江中医药, 2023,52(1):67-69.
[14] 张晓松.个性化护理对妊娠糖尿病患者遵医行为、妊娠结局及心理状态的影响[J].妇儿健康导刊,2025,4(8): 173-176+182.