个性化饮食指导结合自我效能干预对妊娠期糖尿病患者的护理价值(1)
[摘要] 目的 探讨个性化饮食指导结合自我效能干预对妊娠期糖尿病患者的护理效果。方法 选取2018年3月—2019年2月于该院门诊治疗妊娠期糖尿病的70例患者作为观察对象，根据其采用的不同护理方法将其分为参照组与研究组，每组35例，参照组采用常规护理，研究组则在参照组护理基础上给予个性化饮食指导与自我效能感干预，观察和比较两组患者的自我效能评分、血糖控制情况。 结果 研究组与参照组护理前的自护能力评分相比差异无统计学意义(P>0.05)，研究组护理后的自护能力评分高于参照组，差异有统计学意义(P<0.05)。研究组患者的餐后2 h血糖水平与空腹血糖水平低于参照组，差异有统计学意义(P<0.05)。结论 对妊娠期糖尿病患者实施个性化饮食指导与自我效能干预，可有效提高患者的自护能力，并加强血糖的控制。
[关键词] 个性化饮食指导;自我效能;妊娠期糖尿病;护理
[中图分类号] R473.71 [文献标识码] A [文章编号] 1672-4062(2020)09(b)-0187-03
The Nursing Value of Personalized Diet Guidance Combined with Self-efficacy Intervention for Patients with Gestational Diabetes
YANG Li-lan
Department of Obstetrics and Gynecology， Siming Branch， the First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To explore the nursing effect of personalized diet guidance combined with self-efficacy intervention on patients with gestational diabetes. Methods Seventy patients who were treated for gestational diabetes in the outpatient clinic of the hospital from March 2018 to February 2019 were selected as observation objects. According to the different nursing methods they adopted， they were divided into a reference group and a study group， with 35 cases in each group. The reference group used routine nursing care， and the study group was given personalized diet guidance and self-efficacy intervention based on the reference group's nursing care. The self-efficacy score and blood glucose control of the two groups were observed and compared. Results There was no significant difference between the study group and the reference group in the self-care ability score before nursing (P>0.05). The self-care ability score of the study group after nursing was higher than the reference group， and the difference was statistically significant (P<0.05). The 2 h postprandial blood glucose level and fasting blood glucose level of the study group were lower than those of the reference group， and the difference was statistically significant(P<0.05). Conclusion The implementation of personalized dietary guidance and self-efficacy intervention for patients with gestational diabetes can effectively improve the self-care ability of patients and strengthen blood glucose control.
[Key words] Personalized diet guidance; Self-efficacy;Gestational diabetes;Nursing
妊娠期糖尿病是指妊娠后發生的糖尿病。目前，临床上主要对妊娠期糖尿病患者进行常规饮食护理干预及适当的药物治疗，但是患者妊娠期间情绪波动大，食欲下降，治疗依从性较差，对持续性饮食干预造成不良影响[1]。因此，需要加强患者的饮食指导，根据患者的血糖、饮食情况与营养情况，制定个性化的饮食干预处方。同时，由于自护能力是控制糖尿病水平的关键因素，这需要对患者进行自我效能干预，提高患者的自护能力[2]。因此，该研究于2018年3月—2019年2月选取70例患者，其中35例患者采用个性化饮食指导联合自我效能干预对妊娠期糖尿病患者展开护理工作，旨在提高患者自护能力，使其自觉形成良好的生活习惯，并最终达到改善血糖水平的目的，现报道如下。, http://www.100md.com(杨丽兰)
[关键词] 个性化饮食指导;自我效能;妊娠期糖尿病;护理
[中图分类号] R473.71 [文献标识码] A [文章编号] 1672-4062(2020)09(b)-0187-03
The Nursing Value of Personalized Diet Guidance Combined with Self-efficacy Intervention for Patients with Gestational Diabetes
YANG Li-lan
Department of Obstetrics and Gynecology， Siming Branch， the First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To explore the nursing effect of personalized diet guidance combined with self-efficacy intervention on patients with gestational diabetes. Methods Seventy patients who were treated for gestational diabetes in the outpatient clinic of the hospital from March 2018 to February 2019 were selected as observation objects. According to the different nursing methods they adopted， they were divided into a reference group and a study group， with 35 cases in each group. The reference group used routine nursing care， and the study group was given personalized diet guidance and self-efficacy intervention based on the reference group's nursing care. The self-efficacy score and blood glucose control of the two groups were observed and compared. Results There was no significant difference between the study group and the reference group in the self-care ability score before nursing (P>0.05). The self-care ability score of the study group after nursing was higher than the reference group， and the difference was statistically significant (P<0.05). The 2 h postprandial blood glucose level and fasting blood glucose level of the study group were lower than those of the reference group， and the difference was statistically significant(P<0.05). Conclusion The implementation of personalized dietary guidance and self-efficacy intervention for patients with gestational diabetes can effectively improve the self-care ability of patients and strengthen blood glucose control.
[Key words] Personalized diet guidance; Self-efficacy;Gestational diabetes;Nursing
妊娠期糖尿病是指妊娠后發生的糖尿病。目前，临床上主要对妊娠期糖尿病患者进行常规饮食护理干预及适当的药物治疗，但是患者妊娠期间情绪波动大，食欲下降，治疗依从性较差，对持续性饮食干预造成不良影响[1]。因此，需要加强患者的饮食指导，根据患者的血糖、饮食情况与营养情况，制定个性化的饮食干预处方。同时，由于自护能力是控制糖尿病水平的关键因素，这需要对患者进行自我效能干预，提高患者的自护能力[2]。因此，该研究于2018年3月—2019年2月选取70例患者，其中35例患者采用个性化饮食指导联合自我效能干预对妊娠期糖尿病患者展开护理工作，旨在提高患者自护能力，使其自觉形成良好的生活习惯，并最终达到改善血糖水平的目的，现报道如下。, http://www.100md.com(杨丽兰)