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目的探讨强化自我管理干预对妊娠合并糖尿病患者体质量指数(BMI)及自我管理能力的影响。方法选择2015年9月—2016年12月新乡市妇幼保健院收治的74例妊娠合并糖尿病患者纳入本组研究,随机分为研究组(37例)与对照组(37例),对照组采取常规护理干预法,研究组在其基础上强化自我管理,比较两组入组时与干预3个月结束时BMI与自我管理行为量表(DGEE)评分。结果干预前,两组BMI、DGEE评分对比差异无统计学意义(P>0.05);干预后,两组BMI均明显下降,且研究组下降程度明显大于对照组(P<0.05);研究组DGEE评分(95.86±11.12)分,明显高于对照组(95.86±11.12)分(P<0.05)。结论强化自我管理干预可有效控制妊娠合并糖尿病患者BMI,提高其饮食、足部护理、活动、用药、血糖监测等方面的自我管理能力。
Objective To explore the effects of intensive self-management intervention on body mass index (BMI) and self-management ability in patients with gestational diabetes mellitus. Methods Seventy-nine patients with gestational diabetes mellitus who were admitted to Xinxiang MCH from September 2015 to December 2016 were randomly divided into study group (37 cases) and control group (37 cases), and control group Nursing intervention method, the research group strengthened self-management based on it, and compared the BMI and self-management behavior scale (DGEE) scores at the end of the 3 months and after intervention. Results Before intervention, there was no significant difference in BMI and DGEE between the two groups (P> 0.05). After intervention, the BMI of both groups decreased significantly, and the decrease of the study group was significantly greater than that of the control group (P <0.05) Score (95.86 ± 11.12) points was significantly higher than the control group (95.86 ± 11.12) points (P <0.05). Conclusion Intensified self-management intervention can effectively control BMI in pregnant women with diabetes mellitus and improve their self-management abilities in diet, foot care, activities, medication, blood glucose monitoring.