基于Cox-IMCHB模式的中西医结合护理在妊娠期糖尿病孕妇门诊护理中的应用研究OA
Applied research of the Cox-IMCHB model based integrated traditional Chinese and western medicine nursing in outpatient nursing for pregnant women with gestational diabetes mellitus
目的 探讨基于 Cox 健康行为互动模式(Cox-IMCHB)的中西医结合护理在妊娠期糖尿病(GDM)孕妇门诊护理中的应用效果.方法 选取 2024 年 7 月至 2025 年 5 月于天长市人民医院产科门诊确诊并建立围产保健档案的妊娠期糖尿病孕妇 80 例为研究对象.采用随机数字表法分为观察组与对照组,各 40 例.所有入组孕妇在参与研究期间,均接受由医院营养科制定的标准化饮食指导并接受血糖监测培训;对照组接受常规产科门诊护理与随访,观察组在对照组基础上接受基于 Cox-IMCHB 模式结合中西医的护理方案,护理干预周期至产后 42 d.比较 2组血糖代谢指标[空腹血糖(FPG)、糖化血红蛋白(HbA1c)、口服葡萄糖耐量试验(OGTT)]、自我管理能力、母婴临床结局(妊娠期高血压疾病发生率、剖宫产率、巨大儿、新生儿低血糖发生率)、总体幸福感.结果 干预中期与干预后,观察组的 FPG、2hPG 及 HbA1c 水平均显著低于对照组,自我管理能力与幸福感评分均显著高于对照组(P 均<0.05);观察组干预后的妊娠期高血压疾病发生率、剖宫产率,以及新生儿巨大儿发生率、新生儿低血糖发生率均低于对照组(P 均<0.05).结论 基于 Cox-IMCHB 模式的中西医结合护理方案,能有效提升 GDM 孕妇的自我管理能力,改善血糖控制水平及母婴结局.
Objective To explore the application effect of the Cox interaction model of client health behavior(Cox-IMCHB model)based integrated traditional Chinese and western medicine nursing in outpatient nursing for pregnant women with gestational diabetes mellitus(GDM).Methods This study enrolled 80 pregnant women with GDM who were diagnosed in the Obstetric Clinic of Tianchang City People's Hospital and whose perinatal health care records were established from July 2024 to May 2025.Using a random number table,the patients were divided into an observation group and a control group,each with 40 cases.All enrolled pregnant women received standardized dietary guidance developed by the Nutrition Department and blood glucose monitoring training during the study period.The control group received routine obstetric outpatient nursing and follow-up,while the observation group received nursing interventions of the Cox-IMCHB model based integrated traditional Chinese and western medicine nursing in addition to the care provided to the control group.The nursing intervention period lasted until 42 days postpartum.The two groups were compared in terms of blood glucose metabolism indicators(fasting blood glucose[FPG],glycated hemoglobin[HbA1c],oral glucose tolerance test[OGTT]),self-management ability,maternal and neonatal clinical outcomes(incidence rates of hypertensive disorders of pregnancy,cesarean section,macrosomia,and neonatal hypoglycemia),and general well-being.Results At mid-intervention and post-intervention,the observation group showed significantly lower FPG,2hPG,and HbA1c levels,and significantly higher self-management ability and general well-being scores compared with the control group(P<0.05).The incidence rates of hypertensive disorders of pregnancy,cesarean section,macrosomia,and neonatal hypoglycemia were significantly lower in the observation group than in the control group(P<0.05).Conclusion The intervention program of the Cox-IMCHB model based integrated traditional Chinese and western medicine nursing effectively improves self-management ability,blood glucose control,and maternal and neonatal outcomes in pregnant women with GDM.
熊春玲;岑加萍
天长市人民医院,安徽 滁州,239300天长市人民医院,安徽 滁州,239300
医药卫生
Cox健康行为互动模式中西医结合护理妊娠期糖尿病门诊
Cox interaction model of client health behaviorintegrated traditional Chinese and western medicine nursinggestational diabetes mellitusoutpatient
《中西医结合护理（中英文）》 2026 (6)
83-87,5
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