运动干预对降低妊娠期糖尿病发生的效果评价

目的探讨运动干预对降低妊娠期糖尿病(gestational diabetes mellitus,GDM)发生的效果。方法将2016年1月至2017年12月在吕梁市卫生学校附属医院妇产科行门诊常规产检的387名孕妇按产检就诊顺位编号分为观察组(194人)与对照组(193人)。对照组采取产检常规护理干预;观察组在对照组基础上加入个性化运动指导、咨询、随访与监督、精神支持等运动干预。比较两组运动自我效能及GDM发生情况。结果对照组运动自我效能3个维度得分及总得分均低于观察组(P <0. 01);观察组GDM发生率为6. 19%(12/194),明显低于对照组GDM发生率[19. 17%(37/193)](P<0. 01)。结论运动干预能有效降低妊娠期糖尿病的发生率。

The effect of exercise intervention on reducing the incidence of gestational diabetes mellitus

Objective To investigate the effect of exercise intervention on reducing the incidence of gestational diabetes mellitus (GDM). Methods A total of 387 pregnant women were divided into observation group (n=194) and control group (n=193) according to the registration order. The pregnant women in control group received routine nursing intervention, while the ones from observation group were given exercise intervention on the basis of control group, such as personalized exercise guidance, consultation and follow-up, supervision and emotional support. The exercise self-efficacy and the incidence of GDM between the two groups were compared. Results All the three dimensional scores and total scores of self-efficacy of exercise intervention in the control group were significantly lower than those in the observation group (P<0.01). The incidence of GDM in the observation group was significantly lower than that in the control group(P<0.01). Conclusions Exercise intervention can effectively reduce the incidence of gestational diabetes.