【摘要】 目的对妊娠期糖尿病患者采用运动疗法与心理护理结合对妊娠结局影响进行研究。方法该研究选择2019年8月—2020年12月之间在该院实施了妊娠期糖尿病疾病治疗的108例患者进行分析,采取整群分组法的分组划分方式将患者分成了对照组(n=54)和观察组(n=54),对照组采取常规护理方式,观察组在常规护理之上增加使用运动疗法以及心理护理,对比两组患者进行护理前后的血糖水平、不良情绪情况、不良妊娠结局发生率以及护理满意程度。结果护理前,两组患者的空腹血糖以及餐后2 h血糖水平对比差异无统计学意义(t=0.032、0.513,P>0.05);护理后,对照组患者的空腹血糖和餐后血糖水平均高于观察组,差异有统计学意义(t=3.419、2.203,P<0.05)。护理前,两组患者的焦虑评分和抑郁评分对比差异无统计学意义(t=0.249、1.051,P>0.05);护理后,对照组患者的焦虑评分和抑郁评分均高于观察组,差异有统计学意义(t=26.892、32.503,P<0.05)。对照组患者的不良妊娠结局发生率高于观察组患者,差异有统计学意义(χ~2=5.655,P<0.05)。对照组患者的护理满意度低于观察组患者,差异有统计学意义(χ~2=10.565,P<0.05)。结论在护理妊娠期糖尿病患者期间对其采取心理护理和运动疗法的护理措施可以对患者的血糖情况进行有效控制,降低患者存在的负面情绪,提升患者护理满意程度,降低患者不良妊娠结局发生率,值得在临床推广。更多还原

【Abstract】 Objective To study the effect of combining exercise therapy and psychological nursing on pregnancy outcome in patients with gestational diabetes. Methods In this study, 108 patients who underwent treatment for gestational diabetes in the hospital between August 2019 and December 2020 were selected for analysis, and the patients were divided into control group(n=54) and the observation group(n=54) using the cluster grouping method. The control group adopted conventional nursing methods, and the observation group used exercise therapy and psychological nursing in addition to conventional nursing, and compared the blood glucose levels and adverse emotional status, incidence of adverse pregnancy outcomes, and nursing satisfaction of patients in the two groups before and after nursing. Results Before nursing, the difference of the comparison of fasting blood glucose and 2 h postprandial blood glucose levels of patients in the two groups was not statistically significant(t=0.032, 0.513, P>0.05); after nursing, fasting blood glucose and postprandial blood glucose of the blood glucose level of patients in the control group was higher than the observation group, and the difference was statistically significant(t=3.419,2.203, P<0.05). Before nursing, the difference of the anxiety score and depression score of the patients in the two groups was not statistically significant(t=0.249,1.051, P>0.05); after nursing, the anxiety score and depression score of the control group were higher than the observation group, the difference was statistically significant(t=26.892, 32.503, P <0.05). The incidence of adverse pregnancy outcomes in the control group was higher than that in the observation group, and the difference was statistically significant(χ~2=5.655, P <0.05). The care satisfaction of the control group was lower than that of the observation group, and the difference was statistically significant(χ~2=10.565, P <0.05).Conclusion The nursing measures of psychological care and exercise therapy during the nursing of patients with gestational diabetes can effectively control the patient’s blood glucose status, reduce the patient’s negative emotions, improve patient care satisfaction, and reduce the incidence of adverse pregnancy outcomes. It is worthy of clinical promotion.更多还原