个性化自我护理管理对妊娠期糖尿病后罹患2型糖尿病产妇的防控效果

目的探讨个性化自我护理管理对妊娠期糖尿病后罹患2型糖尿病(T2DM)产妇的防控效果。方法选取2016年1月至2018年12月于我院就诊的50例妊娠期糖尿病患者作为研究对象,随机将其等分为观察组和对照组,对照组采用常规护理,观察组在此基础上采用个性化自我护理管理,比较两组产妇罹患T2DM的发生情况、空腹血糖、糖化血红蛋白,以及产后6个月自我护理能力及健康促进生活方式评分。结果观察组罹患T2DM率低于对照组(P<0.05);观察组空腹血糖、糖化血红蛋白水平均低于对照组(P<0.05);观察组产后6个月的健康知识水平、自我责任感、自我护理技能评分均高于对照组(P<0.05);观察组术后6个月的健康责任感、压力管理、人际关系、躯体活动、营养水平均高于对照组(P<0.05)。结论个性化自我护理管理用于妊娠期糖尿病的护理干预过程中,能够起到降低罹患T2DM风险,改善血糖水平,提高的自我管理能力,促进健康生活方式水平提高,值得临床推广应用。

Effect of prevention and control by applying personalized self-care management for pregnant women with type 2 diabetes mellitus after gestational diabetes

Objective To investigate the effect of prevention and control by applying personalized self-care management for pregnant women with type2 diabetes mellitus(T2DM)after gestational diabetes.Methods To select 50 cases of patients with gestational diabetes who were treated in our hospital from January 2016 to December 2018 as the study objects.They were randomly divided into an observation group and a control group.The control group was treated with routine nursing,and the observation group was used personalized self-care management on this basis to compare the occurrence dynamics of T2 DM,fasting blood glucose,glycated hemoglobin,and self-care ability and lifestyle scores of health promotion at postpartum 6 months.Results The incidence of T2DM in the observation group was lower than that in the control group(P<0.05).The fasting blood glucose and glycated hemoglobin levels in the observation group were lower than those in the control group(P<0.05).The health knowledge level,self-responsibility and self-nursing skills scores of the observation group were higher than those of the control group at postpartum 6 months(P<0.05).The health responsibility,stress management,interpersonal relationship,physical activity,and nutrition level of the observation group were higher than those of the control group at 6 months after surgery(P<0.05).Conclusion The application of personalized self-care management could reduce the risk of T2 DM,improve blood glucose levels,improve self-management ability,and promote healthy lifestyles during the nursing intervention of gestational diabetes,which was worthy of clinical promotion and application.