基于智谋理论的护理干预在妊娠期糖尿病患者中的应用

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Abstract Objective To explore the application effect of nursing intervention based on resourcefulness theory in patients with gestational diabetes mellitus (GDM). Methods A total of 100 patients with GDM admitted to Nanjing First Hospital from January 2019 to January 2020 were prospectively selected, the patients were divided into control group and observation group by random number table method, with 50 cases in each group. The control group was given routine nursing intervention, and the observation group was given routine nursing combined with nursing intervention based on resourcefulness theory, they were all intervened until delivery. Fasting blood glucose, 2 h postprandial blood glucose between the two groups were detected and compared before intervention and during delivery; revised illness perception questionnaire (IPQ-R) and resourcefulness scale (RS) were used to evaluate and compare the disease perception and resourcefulness scores of the two groups; the pregnancy outcomes of the two groups during intervention were recorded and compared. Results Before intervention, there was no statistical significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups (P ＞ 0.05); during delivery, the levels of fasting blood glucose, 2 h postprandial blood glucose in both groups were decreased than before intervention, and the observation group was lower in comparison with the control group, and the differences were statistically significant (P ＜ 0.05); before intervention, there was no statistical significant difference in IPQ-R and RS scores between the two groups (P ＞ 0.05); at delivery, IPQ-R and RS scores of both groups were increased than before intervention, and the observation group was higher in comparison with the control group, and the differences were statistically significant (P ＜ 0.05); there were no statistical significant differences in the incidence of premature birth, premature rupture of membranes, intrauterine distress and macrosomia, and other adverse pregnancy outcomes between the two groups (P ＞ 0.05). Conclusion The application effect of nursing intervention based on resourcefulness theory in patients with GDM is better, which is more conducive to stabilizing the blood glucose of patients with GDM, improving the disease perception and resourcefulness of patients.

Key words： Gestational diabetes mellitus Nursing Resourcefulness theory Blood glucose Disease perception Sense of disease benefit Pregnancy outcome

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	SHI Shumin WAN Li▲

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SHI Shumin WAN Li▲. Application of nursing intervention based on resourcefulness theory in patients with gestational diabetes mellitus#br#[J]. 中国医药导报, 2021, 18(30): 188-192.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I30/188

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