关键词:

妊娠期糖尿病, 护理, 信息—动机—行为技巧模型, 分娩结局, 2型糖尿病

Abstract:

Objective To explore the effects of nursing intervention based on information⁃motivation⁃ behavioral skills model（IMB）on maternal ⁃infant delivery outcomes in patients with gestational diabetes mellitus （GDM）. Methods 160 patients with GDM who were hospitalized in thedepartment of obstetrics of ourhospital were enrolled and divided into an IMB group and a traditional health education group according to the simple random grouping method，with 80 in each group. The intervention endpoint was before delivery and the patients were followed up to 12 weeks after delivery. The insulin treatment status during intervention，controloffasting plasma glucose（FPG）and glycosylated hemoglobin（HbA1c）before and after intervention，and adverse maternal ⁃infant delivery outcomes were compared between the two groups，and the abnormal glucose metabolism statuswas assessed 6 to 12 weeks after delivery. Results The insulin treatment rate was lower in the IMB group thanin thetraditional health education groupduring intervention（P < 0.05）. After intervention，FPG and HbA1c were reduced in both groups as compared with those before intervention，and the two indicators were lowerin the IMB group thanin thetraditional health education group after intervention（P < 0.05）. The rate of Cesarean section，incidence of neo⁃ natal respiratory distress syndrome，andtotal incidence of abnormal glucose metabolism at 12 weeks of follow ⁃ up were lower in the IMB group than in thetraditional health education group（P < 0.05）. Conclusions Nursing inter⁃ vention based on IMB model is more effective than traditional health education in the control of blood glucose，and it can improve maternal⁃infant outcomes and reduce occurrence of abnormal glucose metabolism after delivery.

Key words:

gestational diabetes mellitus, nursing, information ?motivation ? behavioral skills model, delivery outcomes, type 2 diabetes mellitus