陈雪云

[摘要] 目的 探讨多学科联合对妊娠糖尿病患者饮食干预效果观察。 方法 选取我院2014年4月～2016年10月的106例妊娠糖尿病患者进行护理干预，根据干预方法不同分为试验组和对照组各53例，对照组采用常规饮食护理，试验组在对照组的基础上进行多学科联合干预，观察两组患者的母婴结局、并发症情况及满意度。 结果 试验组对胎儿和新生儿的影响程度明显优于对照组，差异有统计学意义（P<0.05）；试验组的并发症发生率明显低于对照组，差异有统计学意义（P<0.05）；试验组患者的满意度（98.1%）明显高于对照组（79.2%），差异有统计学意义（χ2=6.956，P<0.05）。 结论 对妊娠糖尿病患者进行多学科联合的饮食干预可以很好地改善患者的并发症情况，减少新生儿的影响，患者满意度比较高。

[关键词] 妊娠糖尿病；多学科；饮食干预；满意度

[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2017）36-0155-03

[Abstract] Objective To investigate the effect of multidisciplinary combination on diet intervention in gestational diabetes mellitus patients. Methods 106 cases of gestational diabetes mellitus in our hospital from April 2014 to October 2016 were treated with nursing intervention. According to the intervention methods， the patients were divided into experimental group （n=53） and control group （n=53）. The control group was treated with regular diet nursing. The experimental group was treated with multidisciplinary joint intervention on the basis of the treatment of the control group. The maternal and infant outcomes， complications and satisfaction between the two groups of patients were observed. Results The effect of experimental group on fetus and newborn was significantly better than that of control group， and there was significant difference between two groups （P<0.05）. The complication rate of experimental group was significantly lower than that of control group， and there was significant difference between two groups （P<0.05）. The satisfaction of patients in experimental group（98.1%） was significantly higher than that of control group（79.2%）， with statistical significance （χ2=6.956， P<0.05）. Conclusion The diet intervention by multidisciplinary combination for gestational diabetes mellitus patients can improve the patient's complications， reduce the impact of newborns， with high satisfaction in patients.

[Key words] Gestational diabetes mellitus； Multidiscipline； Diet intervention； Satisfaction degree

妊娠糖尿病是妊娠期妇女比较常见的疾病，对产妇和新生儿具有严重的影响。妊娠糖尿病会导致胎儿的发育出现异常，出现羊水过多、产褥感染、肾盂肾炎、难产、巨大胎、产道损伤、新生儿呼吸窘迫综合征等，病情严重可致孕妇死亡[1-2]。因此對该病治疗的同时需要进行饮食方面的干预，使患者控制糖尿病的发展，减少对新生儿的影响及并发症的发生。将多学科联合应用于妊娠糖尿病患者的饮食干预的研究较少，没有明确的结果，因此本研究将多学科联合用于妊娠糖尿病患者的饮食干预，从而确定多学科联合应用效果。现报道如下。

1 资料与方法

1.1 一般资料

选取我院2014年4月～2016年10月的106例妊娠糖尿病患者进行护理干预，所有患者均符合2014美国糖尿病指南：糖尿病诊疗标准[3]，认知功能完整，可定期前来随访和产前检查；患者知情并愿意参加本次研究。排除标准：不合作的患者；……