Zhu Guo-Hong, Xu Yun, Zou Li, Zhou Qing, Zhou Li-Juan
Taizhou People's Hospital, Taihu Road, Medical High-tech Zone, Taizhou, China, China.
Ginekol Pol. 2025;96(4):304-307. doi: 10.5603/GP.a2021.0066. Epub 2021 Sep 20.
This study aimed to explore the effect of interdisciplinary and diversified health education combined with personalized nutrition intervention on FPG, 2hPG, SDS, SAS scores and pregnancy outcome of gestational diabetes mellitus (GDM).
A total of 180 GDM patients, who were admitted to our hospital between June 2019 and June 2020, were enrolled as the research subjects and randomly divided into two groups: a research group and a control group (n = 90, each). The patients in the control group received routine care while the patients in the research group received interdisciplinary and diversified health education combined with personalized nutrition intervention. The fasting blood-glucose (FPG), two-hour postprandial blood glucose (2hPBG), glycated hemoglobin (HbA1C), SDS, SAS scores, and pregnancy outcome of the two groups of pregnant women were analyzed and compared.
The differences in the levels of FBG, 2hPBG and HbA1C between the two groups before nursing were not statistically significant. After nursing, the levels of FBG, 2hPBG, and HbA1C of the two groups of patients decreased, and the differences in each group before and after intervention were statistically significant. These indexes were lower in the research group than in the control group, the differences being statistically significant. There were no significant differences between the two groups in SAS and SDS scores before nursing, but there were statistically significant differences after nursing. The incidence of unfavorable pregnancy outcome was lower in the research group (8.89%) than in the control group (14.44%), but the difference was not statistically significant (p > 0.05).
Interdisciplinary and diversified health education combined with personalized nutrition intervention can effectively reduce FPG, 2hPG, SDS, and SAS scores in GDM women.
本研究旨在探讨跨学科多元化健康教育联合个性化营养干预对妊娠期糖尿病（GDM）患者空腹血糖（FPG）、餐后2小时血糖（2hPG）、抑郁自评量表（SDS）、焦虑自评量表（SAS）评分及妊娠结局的影响。
选取2019年6月至2020年6月在我院收治的180例GDM患者作为研究对象，随机分为两组：研究组和对照组（每组n = 90）。对照组患者接受常规护理，研究组患者接受跨学科多元化健康教育联合个性化营养干预。分析比较两组孕妇的空腹血糖（FPG）、餐后两小时血糖（2hPBG）、糖化血红蛋白（HbA1C）、SDS、SAS评分及妊娠结局。
两组护理前FBG、2hPBG和HbA1C水平差异无统计学意义。护理后，两组患者的FBG、2hPBG和HbA1C水平均下降，且每组干预前后差异有统计学意义。研究组这些指标低于对照组，差异有统计学意义。两组护理前SAS和SDS评分无显著差异，但护理后有统计学意义。研究组不良妊娠结局发生率（8.89%）低于对照组（14.44%），但差异无统计学意义（p>0.05）。
跨学科多元化健康教育联合个性化营养干预可有效降低GDM女性的FPG、2hPG、SDS和SAS评分。
