心理护理联合运动疗法对妊娠期糖尿病(GDM)的效果、心理状态及妊娠结局的影响

Effect of Psychological Nursing Combined with Kinesitherapy on Efficacy, Psychological State and Pregnancy Outcome for GDM

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

四川省凉山州第二人民医院 长安分院 ;

摘要
【摘要】探究心理护理联合运动疗法对妊娠期糖尿病(GDM)的效果、心理状态及妊娠结局的影响。方法 选取2015年7月-2016年7月收治的120例GDM患者临床资料进行分析,按照不同护理方式分为对照组(60例)与研究组(60例),对照组行常规护理加饮食疗法,研究组行心理护理加上运动疗法,观察两组血糖水平、心理状态与不良妊娠结局情况。结果 研究组各时间段血糖水平均较对照组低(P<0.05),研究组与对照组护理前心理状态无显著差异(P>0.05),护理后研究组SDS、SAS评分均低于对照组(P<0.05),研究组不良妊娠结局总发生率较对照组显著低(P<0.05)。结论 GDM患者采取运动疗法和心理护理联合应用可有效控制产妇机体内血糖情况,缓解其心理不良情绪,降低不良妊娠发生率,具有临床推广和应用价值。
Abstract
[Abstract] Objective To explore the curative effect of psychological nursing combined with kinesitherapy for the treatment of gestational diabetes mellitus (GDM), and its effect on psychological state and pregnancy outcome of the patients. Methods The clinical data of 120 patients with GDM who had been seeking treatment in the hospital between July 2015 and July 2016 were analyzed, and according to the different nursing options given, were divided into control group (n=60) and observation group (n=60). Patients in the control group received routine nursing and diet therapy, whereas those in the observation group were given psychological nursing combined with kinesitherapy. The blood glucose level, psychological state and adverse pregnancy outcomes in the two groups were observed. Results The level of blood glucose at different periods in the observation group was all lower than the control group (P<0.05); before nursing given, no statistically significant difference was registered in the psychological state between the two groups (P>0.05); however, the SDS and SAS scores after nursing in the observation group were shown to be lower than the control group (P<0.05), and the total incidence of adverse pregnancy outcome in the observation group was shown to be significantly lower than the control group (P<0.05). Conclusion For GDM patients, combined application of kinesitherapy and psychological nursing can effectively control blood glucose of maternal body, alleviate their psychological negative emotions and reduce the incidence of adverse pregnancy outcomes; therefore, it is of the value to be popularized in clinical application.
关键词
【关键词】心理护理;运动疗法;GDM;妊娠结局;心理状态
KeyWord
[Key words] Psychological Nursing; Kinesitherapy; GDM; Pregnancy Outcome; Psychological State
基金项目
页码 329-331
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罗向红*,罗昆蓉,陈玉兰, 彭永君. 心理护理联合运动疗法对妊娠期糖尿病(GDM)的效果、心理状态及妊娠结局的影响 [J]. 国际精神病学杂志. 2017; 44; (2). 329 - 331.

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