孕期日记结合正念减压疗法对妊娠期糖尿病患者知信行及自我管理行为的影响

目的探讨孕期日记结合正念减压疗法对妊娠期糖尿病患者知信行及自我管理行为的影响。方法选取2019年3月至2020年3月收治的80例妊娠期糖尿病患者作为研究对象,将其随机分为对照组和观察组,各40例。对照组接受常规护理干预,观察组在对照组基础上加以孕期日记结合正念减压疗法干预,比较两组的干预效果。结果干预2个月后,两组认知、信念、行为、SDSCA评分均高于干预前,SAS评分低于干预前,且观察组优于对照组(P<0.05)。干预2个月后,两组FPG、2 h PG、HbA1c水平均低于干预前,且观察组低于对照组(P<0.05)。结论孕期日记结合正念减压疗法应用于妊娠期糖尿病患者的临床护理中,有助于改善患者的知信行、心理状态及自我管理行为,进而提高血糖控制效果。

Effects of pregnancy diary combined with mindfulness decompression therapy on knowledge,attitude,practice and self-management behavior of patients with gestational diabetes mellitus

Objective To explore the effects of pregnancy diary combined with mindfulness decompression therapy on knowledge,attitude,practice and self-management behavior of patients with gestational diabetes mellitus.Methods A total of 80 patients with gestational diabetes mellitus admitted from March 2019 to March 2020 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received pregnancy diary combined with mindfulness decompression therapy intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After 2 months of intervention,the scores of knowledge,attitude,practice and SDSCA of the two groups were higher than those before intervention,while the SAS score was lower than that before intervention,and those of the observation group were better than the control group(P<0.05).After 2 months of intervention,the levels of FPG,2 h PG and HbA1c of the two groups were lower than those before intervention,and those of the observation group were lower than the control group(P<0.05).Conclusion The pregnancy diary combined with mindfulness decompression therapy applied in the clinical nursing of patients with gestational diabetes mellitus is helpful to improve the patients'knowledge,attitude,practice,psychological state and self-management behavior,and then improve the effect of blood glucose control.