CAJ | 학술논문

目的：探讨母婴专科护理门诊对妊娠期糖耐量异常孕妇的血糖、体质量以及妊娠结局的干预效果。方法将2011年3月—2012年1月60例妊娠期糖耐量异常孕妇按照随机数字表法随机分为观察组和对照组，每组各30例。对照组孕妇给予常规的产前检查、孕期教育及孕期营养指导；观察组孕妇在此基础上接受母婴专科护理门诊指导，根据每位孕妇的年龄、体质量、孕周、血糖水平、胎儿宫内生长情况制定个性化的食谱、运动方案，进行一对一咨询和个性化指导。结果干预后，两组孕妇自我管理认知和行为相比，除了饮食控制知晓情况，坚持少食多餐、控制甜食，定时检测血糖这3项外，其他方面比较，差异均有统计学意义（ P＜0．05）。干预后，干预组孕妇在孕32，36，40周和分娩当天餐后2 h血糖与体质量均优于对照组，差异有统计学意义（P＜0．05）。干预后，对照组孕妇妊娠高血压疾病、早产与胎膜早破的发生率分别为13．33％，23．33％，30．00％，均高于观察组，差异有统计学意义（χ2值分别为4．2857，7．9245，5．4545；P＜0．05）。观察组新生儿出生时体质量为（3316．13±364．78）g，高于对照组，差异有统计学意义（t＝2．83，P＜0．01）。结论母婴专科护理门诊干预可有效提高妊娠期糖耐量异常孕妇的自我管理认知和行为，减少妊娠和围产儿并发症的发生。
목적：탐토모영전과호리문진대임신기당내량이상잉부적혈당、체질량이급임신결국적간예효과。방법장2011년3월—2012년1월60례임신기당내량이상잉부안조수궤수자표법수궤분위관찰조화대조조，매조각30례。대조조잉부급여상규적산전검사、잉기교육급잉기영양지도；관찰조잉부재차기출상접수모영전과호리문진지도，근거매위잉부적년령、체질량、잉주、혈당수평、태인궁내생장정황제정개성화적식보、운동방안，진행일대일자순화개성화지도。결과간예후，량조잉부자아관리인지화행위상비，제료음식공제지효정황，견지소식다찬、공제첨식，정시검측혈당저3항외，기타방면비교，차이균유통계학의의（ P＜0．05）。간예후，간예조잉부재잉32，36，40주화분면당천찬후2 h혈당여체질량균우우대조조，차이유통계학의의（P＜0．05）。간예후，대조조잉부임신고혈압질병、조산여태막조파적발생솔분별위13．33％，23．33％，30．00％，균고우관찰조，차이유통계학의의（χ2치분별위4．2857，7．9245，5．4545；P＜0．05）。관찰조신생인출생시체질량위（3316．13±364．78）g，고우대조조，차이유통계학의의（t＝2．83，P＜0．01）。결론모영전과호리문진간예가유효제고임신기당내량이상잉부적자아관리인지화행위，감소임신화위산인병발증적발생。
Objective To explore the effects of specialist outpatient nursing instruction on gestational impaired glucose tolerance ( GIGT ) , body weight and pregnancy outcomes of pregnant women .Methods A total of 60 cases of GIGT pregnant women from March 2011 to January 2012 were randomly divided into experimental group and control group , with 30 cases in each .The control group was given routine antenatal examination, childbirth care guidance from pregnant school , regular diet and exercise instructions and other related knowledge from obstetric nutrition clinic;the experimental group furthermore received maternal and child specialist nursing outpatient guidance . Instructors who had got maternal and child care nurse specialist qualifications issued according to each pregnant woman′s age, weight, gestational weeks, blood glucose, fetal growth, formulated personalized recipes and exercise program , and carried on personalized guidance with one to one counseling .Results After the intervention , other aspects of the self cognition and behavior , except for the diet condition , less sweets control , and regularly blood sugar monitor , had statistical significance ( P<0 .05 ) . Two-hour postprandial glucose values and weight gain during pregnancy of the experimental group at 32 , 36 and 40 weeks were significantly better than those of the control group (P <0.05).After the intervention, the incidences of gestational hypertension , preterm labor and premature rupture of membranes of the experimental group were 13.33%, 23.33% and 30.00%, respectively, which were significantly lower than those of the control group (χ2 =4.285 7, 7.924 5, 5.454 5, respectively;P<0.05).The neonatal birth weight of the experimental group was (3 316.13 ±364.78) g, which was significantly higher than that of the control group (t=2.83, P<0.01 ).Conclusions Maternal and child specialist nursing outpatient intervention can effectively improve the GIGT pregnant women′s cognitive and behavioral self-management , reduce blood glucose, body weight levels , and decrease the incidence of pregnancy complications .