周娅菲　李聪慧　杜康

[摘要]目的 探討孕妇学校在缓解妊娠期糖尿病患者心理压力中的作用。方法 选取2017年1～11月我院收治的96例妊娠期糖尿病患者，采用随机数字表法将其分为对照组、观察组，每组 48例。对照组采用常规护理，观察组采用孕妇学校模式实施护理。比较两组患者的护理满意度、并发症发生率、干预前后患者焦虑及抑郁评分、睡眠质量评分、生活质量评分。结果 观察组患者的护理总满意度高于对照组，差异有统计学意义（P<0.05）。观察组患者的并发症发生率低于对照组，差异有统计学意义（χ2=7.901，P=0.005）。干预前，两组患者的焦虑评分、抑郁评分、睡眠质量评分、生活质量评分比较，差异均无统计学意义（P>0.05）。干预后，观察组患者的焦虑评分、抑郁评分、睡眠质量评分、生活质量评分均优于对照组，差异均有统计学意义（P<0.05）。结论 孕妇学校护理模式能够有效缓解妊娠期患者心理及生理状态，并减少并发症发生风险，具有较高的临床推广价值。

[关键词]孕妇学校；妊娠期糖尿病；心理压力

[中图分类号] R714 [文献标识码] A [文章编号] 1674-4721（2018）8（a）-0215-03

Application effect of pregnant women′s school in nursing of patients with gestational diabetes

ZHOU Ya-fei LI Cong-hui DU Kang

Department of Gynecology and Obstetrics， the Second Affiliated Hospital of Nanchang University， Jiangxi Province， Nanchang 330006， China

[Abstract] Objective To explore the role of pregnant women′s school in relieving the psychological pressure of gestational diabetes. Methods Ninety-six gestational diabetes patients admitted to our hospital from January to November 2017 were selected and divided into control group and observation group with 48 cases in each group by random number table method. The control group was given routine nursing， while the observation group was given nursing by the school model for pregnant women. The nursing satisfaction， the incidence rate of complication， anxiety， depression score， sleep quality score and life quality score of the two groups were compared. Results The total satisfaction degree of patients in the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. The incidence of complications in the observation group was lower than that in the control group， the difference was statistically significant （χ2=7.901， P=0.005）. Before the intervention， there was no significant difference in anxiety score， depression score， sleep quality score and quality of life score between the two groups （P>0.05）. After the intervention， the anxiety score， depression score， sleep quality score and life quality score of the observation group were all better than those of the control group， and the differences were statistically significant（P<0.05）. Conclusion The pregnant school nursing model can effectively relieve the psychological and physiological state of the pregnant patients and reduce the risk of complications. It has a higher clinical value.

[Key words] Maternal school； Gestational diabetes； Psychological pressure

妊娠期糖尿病是临床常见疾病，是指女性在妊娠期间首次出现糖代谢异常，多数可在分娩后恢复正常，但由于该疾病可诱使患者出现妊娠高血压综合征、羊水过多、感染等并发症，从而对患者自身及胎儿造成影响[1]，故而有必要给予其合理护理干预，对其血糖指标进行控制，保证其处于良好状态下完成分娩过程，保障孕妇及胎儿健康[2]。本研究选取96例妊娠期糖尿病患者作为研究对象，对其中48例患者采取孕妇学校护理模式干预取得满意效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年1～11月我院收治的96例妊娠期糖尿病患者，采用随机数字表法将其分为对照组、观察组，每组 48例。观察组中，年龄23～37岁，平均（30.4±1.5）岁；孕龄28～32周，平均（30.4±1.5）周。对照组中，年龄24～38岁，平均（30.5±1.3）岁；……