CAJ | 학술논문

目的：探讨电话随访对妊娠期糖尿病（GDM ）孕妇遵医行为及妊娠结局的影响。方法选择2013年10月～2014年10月在我院就诊的100例GDM孕妇，随机分为研究组和对照组，各50例。对照组采用常规护理。研究组在常规护理的基础上采用电话随访指导。比较两组遵医行为及各项临床参数和妊娠并发症。结果研究组遵医行为明显优于对照组；增重、空腹血糖、餐后2h血糖、糖化血红蛋白均控制在正常范围；妊娠期高血压、早产、巨大儿、羊水过多等妊娠并发症发生率均低于对照组，两组比较有显著性差异（P＜0．05）。结论电话随访能帮助GDM 孕妇提高遵医行为，较好地控制血糖，从而有效降低GDM孕妇并发症的发生。
목적：탐토전화수방대임신기당뇨병（GDM ）잉부준의행위급임신결국적영향。방법선택2013년10월～2014년10월재아원취진적100례GDM잉부，수궤분위연구조화대조조，각50례。대조조채용상규호리。연구조재상규호리적기출상채용전화수방지도。비교량조준의행위급각항림상삼수화임신병발증。결과연구조준의행위명현우우대조조；증중、공복혈당、찬후2h혈당、당화혈홍단백균공제재정상범위；임신기고혈압、조산、거대인、양수과다등임신병발증발생솔균저우대조조，량조비교유현저성차이（P＜0．05）。결론전화수방능방조GDM 잉부제고준의행위，교호지공제혈당，종이유효강저GDM잉부병발증적발생。
Objective The aim of the present study is to investigate the telephone follow‐up effect on gestational diabetes patients'(gestational diabetes mellitus ,GDM ) compliance behavior and their pregnancy outcomes .Methods 100 GDM pa‐tients in the outpatient department from October 2013 to October 2014 were randomly assigned to the intervention group and the control group with 50 cases in each group .The control group was followed with usual care while the intervention group by telephone .The compliance behavior of the two groups'patients and their clinical parameters and pregnancy complications were recorded and compared .Results Patients in the intervention group had better compliance .The weight gain and the value of fasting blood glucose ,2h postprandial blood glucose and glycated hemoglobin were within the normal range and sig‐nificantly lower than the control group .In addition ,the risk of gestational hypertension ,premature delivery ,macrosomia , polyhydramnios and other pregnancy complications was lower than the control group .The differences were statistically sig‐nificant (P<0 .05) .Conclusion The telephone follow‐up approach could help improve compliance behavior of GDM women and make them in better control of blood sugar ,thus leading to a reduction of the incidence of complications .