| 王红美.中医饮食运动管理联合中医情志护理对妊娠糖尿病患者的影响分析[J].实用中西医结合临床,2023,23(18): |
| 中医饮食运动管理联合中医情志护理对妊娠糖尿病患者的影响分析 |
| Analysis of the influence of traditional Chinese medicine diet and exercise management combined with traditional Chinese medicine emotional nursing on gestational diabetes patients |
| 投稿时间：2023-08-14 修订日期：2023-08-28 |
| DOI： |
| 中文关键词: 中医饮食运动 孕期管理 妊娠糖尿病 自护能力 中医情志护理 |
| 英文关键词: Traditional Chinese medicine diet exercise Pregnancy management Gestational diabetes mellitus Self-care ability Traditional Chinese emotional nursing |
| 基金项目: |
|
| 摘要点击次数: 166 |
| 全文下载次数: 95 |
| 中文摘要: |
| 目的：探析中医饮食运动管理联合中医情志护理在妊娠糖尿病患者孕期管理中的应用效果。方法：选取我中心于2020年9月-2022年8月期间定期产检的妊娠糖尿病孕妇95例展开研究，根据其不同的护理方法将其分为观察组以及对照组，其中观察组中50例，对照组中45例，对照组应用常规孕期管理联合中医情志护理，观察组给予中医饮食运动管理联合中医情志护理的孕期管理，比较两组孕妇的妊娠糖尿病护理前后的血清胱抑素 C (Cys-C)、同型半胱氨酸 (Hcy) 水平、血糖指标以及妊娠结局，比较两组护理前后的负性情绪评分情况。结果：干预后，两组患者的Cys-C、Hcy上述指标均明显低于干预前，且观察组与对照组相比明显降低，P＜0. 05。两组护理前的FPG、2hPG的指标比较无明显差异，P＞0.05，护理后两组的FPG、2hPG的指标结果与本组护理前比较明显降低，而且观察组的最终结果低于对照组，P＜0.05，观察组的自然分娩率高于对照组，剖宫产率、产后出血率、巨大儿率、新生儿窒息率低于对照组，组间比较差异有统计学意义，P＜0.05，干预后，观察组的HAMA及HAMD评分相比于对照组显著升高，P＜0.05。结论：对妊娠糖尿病孕妇应用中医饮食运动管理联合中医情志护理的孕期管理后可取得显著的效果，能有效地提高孕妇对疾病相关知识的认知，提升其自护能力，从而更合理地控制血糖，对提升妊娠结局产生有利的影响，值得推广应用。 |
| 英文摘要: |
| Objective: To explore the application effect of traditional Chinese medicine diet and exercise management combined with traditional chinese medicine emotional nursing in pregnancy management of gestational diabetes patients. Method: A total of 95 pregnant women with gestational diabetes who underwent regular antenatal check-up in our center from september 2020 to august 2022 were selected for the study. They were divided into observation group and control group according to different nursing methods, including 50 in the observation group and 45 in the control group. The control group was treated with conventional pregnancy management combined with traditional chinese emotional nursing. The observation group was given chinese medicine diet and exercise management combined with chinese medicine emotional nursing during pregnancy. The levels of serum cystatin C (Cys-C), homocysteine (Hcy), blood glucose indexes and pregnancy outcomes of pregnant women before and after gestational diabetes care in the two groups were compared, and the negative emotional scores before and after care were compared between the two groups. Results: After intervention, the above indexes of Cys-C and Hcy in both groups were significantly lower than before intervention, and the observation group was significantly lower than the control group (P < 0.05). There was no significant difference in FPG and 2hPG indexes between the two groups before nursing (P > 0.05). After nursing, FPG and 2hPG indexes of the two groups were significantly lower than those of the control group, and the final result of the observation group was lower than that of the control group (P < 0.05), indicating that the natural delivery rate of the observation group was higher than that of the control group. The rates of cesarean section, postpartum hemorrhage, macrosomia and neonatal asphyxia were lower than those of the control group, and the differences between groups were statistically significant (P < 0.05). After intervention, HAMA and HAMD scores in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of traditional Chinese medicine diet and exercise management combined with traditional chinese medicine emotional care in pregnancy management for pregnant women with gestational diabetes can achieve significant results, which can effectively improve pregnant women"s cognition of disease-related knowledge and enhance their self-care ability, so as to control blood sugar more reasonably, which has a favorable impact on improving pregnancy outcomes, and is worthy of promotion and application. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
