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1高血压子痫前期妊娠女性开展聚焦式健康教育指导方案的效果分析

丁敏华,孙慧,蒋霞,黄璐,赵绍杰

目的分析高血压子痫前期妊娠女性开展聚焦式健康教育指导方案的临床干预成效.方法以某院在2019年4月—2021年3月接诊收治的88例高血压子痫前期妊娠女性作为调研对象,借助数字表为工具展开随机化分组,即观察组和对照组各44例.其中,对照组实施常规性护理方案,观察组实施聚焦式健康教育指导方案.①在干预前、干预后第4周末,通过自我效能量表作为测评手段了解患者的自我照护能力.②在上述相同时间段,比较两组的收缩压、舒张压.③在上述相同时间段,比较两组24 h尿蛋白水平.结果观察组干预后的自我照护能力高于对照组,差异有统计学意义(P<0.05).观察组干预后的血压、24 h尿蛋白水平均低于对照组,差异有统计学意义(P<0.05).结论聚焦式健康教育指导方案应用于高血压子痫前期妊娠女性,能提高患者的自我照护能力,且能使血压相对趋于平稳,改善24 h尿蛋白水平,使病情向着良性方向进展.

2022Today Nurse（2022）引用：1

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2营养监测软件及计步器在孕期体质量管理中的作用

杨华,蒋霞,严瑾,唐丽娟,常淑文

随着生活水平的提高,孕期体质量增长过多(EGWG)的人数在不断增加,成为如今发达国家及发展中国家共有的健康问题[1-5].EGWG可增加巨大儿、妊娠期糖尿病、剖宫产率、产后出血及产后体质量滞留等风险,影响孕妇和胎儿的围产期结局[6-8] .而造成EGWG的主要原因为热量摄入过多及孕期运动不足等[9-10], 所以孕妇热量摄入的控制及运动的管理是控制孕妇体质量增长的关键.随着科技的发展,电子工具应用的逐渐普及,孕期营养监测软件及计步器的使用在孕期体质量管理的作用也在不断被验证[1, 11].此文评估孕期营养监测软件及计步器是否可以帮助孕妇减少孕期体质量增长过多,减少孕期合并症的发生及改善围产期结局.

2017Journal of Clinical Medicine in Practice（2017）引用：1

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3Application of the nutrition guidance method of the weighing diet in gestational diabetes mellitus

Jie JIANG,Shi-yang WANG,Xia JIANG

Objective To investigate the effect of the weighing diet applied on the work of gestational diabetes mellitus nutrition guidance.Methods From 2011 December to 2012 June, eighty-four people with gestational diabetes mellitus were divided into the weighing diet group(study group, n=38) and the group without weighing diet(control group, n=46).There was no difference between the two groups in age, gestational weeks, gravidity, body mass index and the levels of the blood glucose(P>0.05).A special dietian educated the two groups.Pregnant women in the study group were asked to weigh all the foods before they eat every day.While pregnant women in the control group were not.The rate of ce-sarean section, the birth weight, the pregnancy time, the rate of the neonatal hypoglycemic incidence and the levels of the blood-glucose 42 days postpartum were compared.Results The rate of cesarean section in the study group was lower than that in the control group.The birth weight in the study group was better.The levels of the blood-glucose 42 days postpartum in the study group recovered better than that in the control group.There were significant differences among all the indexes (P<0.05).Conclusions Nutrition direction founded on the weighing-diet-controlling can lead a better result for mother and neonate than without this controlling among the gestational diabetes.

2015Chinese Journal of Practical Medicine（2015）引用：1

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4Multi-factor analysis on the periodontal status of pregnant women

Hui HUANG,Ben-zhan YAO,Li LING,Xia JIANG,Shi-yan WANG,Jing LIU

Objective:To survey on knowledge of periodontal health and periodontal status of pregnant women by an analysis of the multi-factors. Method:906 pregnant women were selected in Wuxi Maternal and Child Health-Care Hospital during 2012 January-December. The in-formation related to pregnancy was collected through a questionnaire. Women were given periodontal examination. The result was analyzed with t-test,chi-square test and Logistic regression analysis. Result:①The knowledge on periodontal health was poor in pregnant women with low educational levels and low income levels.②The result showed that the gingivitis and periodontitis were diagnosed in 55.7%and 25.5%separately of these women. Use non-drug toothpaste(OR=1.33),low educational levels(OR=1.32),one time of daily brushing(OR=4.62),brushing time less than a minute(OR=1.71),BMI>25(OR=1.23),before 1 years without treatment(OR=3.42),no toothwash habits(OR=2.16), unknown the rules of brush 3.3.3.(OR=1.85),do not use mouthwash slobber(OR=1.15),low income level(OR=1.65) were risk factors of gingivitis(P <0.05). Over 30 years of age(OR=2.79),before or during pregnancy with systemic disease(OR=2.31),one time of daily brushing(OR=1.68),BMI>25(OR=1.19),before 1 years without treatment(OR=4.16),no toothwash habits(OR=2.31),unknown the rule of brush 3.3.3.(OR=1.56),low income level(OR=1.41) were risk factors of periodon-titis (P <0.05). Conclusion:The prevalence of pregnant women periodontal disease is affected by age ,education,income, frequency of brushing,brushing time,before or during pregnancy with systemic disease,and other factors. We need to strengthen the periodontal health education of pregnant women,The pregnant women with low educational level and low in-come level is the focus of education.

2014Journal of Clinical Stomatology（2014）引用：2

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5Study of relationship between periodontal health status of pregnant women and preterm birth

Hui HUANG,Benzhan YAO,Li LING,Xia JIANG,Shiyan WANG,Jing LIU

Objective To survey on periodontal status of pregnant women and pregnant outcome,and to explore its possible relation-ship between periodontal infection and preterm birth.Methods 674 pregnant women were selected in Wuxi Maternal and Child Health-Care Hospital during 2012 January-December.Women were given periodontal examination.OHI-S,SBI,PD and CAL were recor-ded and pregnant outcome was tracked.The result was analyzed with chi-square test,t test and Spearman correlation analysis.Results①Periodontitis prevalence of preterm women (36.1%)was higher than that of full-term pregnant women (21.4%).There was a sig-nificant difference in gestational age and birth weight between the two groups (P<0.01 );②OHI-S,SBI,PD,CAL of preterm group were higher than full-term pregnancy group (P<0.05);③Maternal periodontal index of OHI-S,PD,CAL and gestational age was neg-atively correlated (P<0.05).Conclusions There is a correlation between maternal periodontal infection and preterm birth.Periodon-titis among pregnant women is a risk factor for preterm birth.We must pay more attention to oral health care of these pregnant women.

2014Stomatology（2014）引用：3

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6168例妊娠糖尿病病人的膳食指导

张萍, 刘彩凤,蒋霞

对168例妊娠糖尿病人给予膳食指导及心理护理,制订合理的饮食治疗方案,科学设计食谱,确定各种营养素的供给量,合理分配餐次。结果168例病人的血糖控制在理想范围,临床症状缓解,减少了并发症的发生,保证了胎儿的正常发育。

2009Chinese General Nursing引用：4

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