摘要
[摘要 ] 目的实施心理护理结合运动疗法治疗妊娠糖尿病护理的效果分析。方法 选取 2016年 1月— 2017年 1月我院收治的妊娠糖尿病患者 56例为研究对象，采用随机划分方法平均分为两组，命名为照组与观察组，观察组采用心理护理、运动疗法相结合干预方法，对照组给予一般护理方法，观察比较两组。结果 SAS、 SDS评分比较两组患者护理前差异无统计学意义（ P>0.05），护理后观察组 SDS、 SAS评分低于对照组，比较差异有统计学意义（ P<0.05）。护理干预前，观察组与对照组患者在空腹血糖、餐后 2 h血糖方面比较差异无统计学意义（ P>0.05），护理干预后患者空腹血糖、餐后 2 h血糖指标改善均优于对照组，比较差异有统计学意义（ P<0.05）。观察组妊娠结局包括羊水过多、产后出血、妊高症、胎儿窘迫等总发生率（ 7.14%）低于对照组（ 21.43%），两组患者比较差异有统计学意义（ P<0.05）。结论 心理护理、运动疗法相结合应用于妊娠糖尿病患者护理中，对改善妊娠糖尿病患者心理状况、血糖指标可发挥重要作用，且有助于妊娠不良结局的控制，应在护理实践中推广应用。
[关键词 ] 心理护理；运动疗法；妊娠糖尿病
Objective: to analyze the effect of psychological nursing combined with exercise therapy in the treatment of gestational diabetes mellitus. Methods 56 cases of gestational diabetes treated in our hospital from January 2016 to January 2017 were divided into two groups, which were divided into group and observation group. The observation group was treated with psychological nursing and exercise therapy, and the control group was given a nursing method, and the two groups were compared. Results there was no significant difference in SAS and SDS scores between the two groups before nursing (P>0.05). The scores of SDS and SAS in the observation group after nursing were lower than those in the control group, and the difference was statistically significant (P<0.05). Before nursing intervention, there was no significant difference between the observation group and the control group on fasting blood glucose and 2 h postprandial blood sugar (P>0.05). The improvement of fasting blood glucose and postprandial 2 h blood glucose indexes after nursing intervention were all better than those in the control group, and the difference was statistically significant (P<0.05). The total pregnancy outcome in the observation group including amniotic fluid, postpartum hemorrhage, pregnancy induced hypertension and fetal distress (7.14%) was lower than that of the control group (21.43%), and the difference between the two groups was statistically significant (P<0.05). Conclusion the combination of psychological nursing and exercise therapy in the nursing of gestational diabetes mellitus can play an important role in improving the mental state and blood sugar index of the patients with gestational diabetes, and helps to control the bad outcome of pregnancy, and should be popularized in the nursing practice.
出版日期
2019年12月17日（中国期刊网平台首次上网日期，不代表论文的发表时间）
