自我管理能力与妊娠期糖尿病孕妇分娩结局的相关性分析

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[中图分类号]R587 [文献标识码]A [文章编号]1672-4062（2026）02（a）-0014-04

Correlation Analysis of Self-management Ability and Delivery Outcome of Pregnant Women with Gestational DiabetesMellitus

XIESuhua，LINHuimin，LIUXiuwu，JANGhengli

DepartmentofObstetrics，FujianProvincialMaternityand Child Health Hospital，Fuzhou 35oooo，Fujian，China [Abstract] Objective To explore the efect of self-management abilityon weight gain during pregnancyand delivery outcome in pregnant women with gestational diabetes melitus （GDM）.Methods A total of 16O pregnant women who werediagnosedwith GDMand hospitalizedfordeliveryinFujianProvincial MaternityandChild Health Hospital from October 022 to February 2O23 were conveniently selected as the research objects.Theself-management evaluation scale of GDM pregnant women was used to conduct a questionnaire survey.Based on the self-management score of pregnant women， they were divided into poor self-managementability group，medium self-management ability group andgood self-management ability group.Theywere folowedupuntil the delivery of the research objects.Their weight gainduring pregnancyanddelivery outcomes were collcted，the general dataof thethree groups werecomparedad the correlationof variables wasanalyzed.Results There were statisticallysignificant diferences in gestational weight gain，neonatal weight，complications，cesareansectionand self-managementabilitybetweenthepoor self-management abilitygroup，the medium self-management ability group and the good self-managementability group （all P<0.05 ）.Self-management ability was negatively correlated with weight gain during pregnancy， neonatal weight，complications，and cesarean section （ r= -0.475，-0.554，-0.306，-0.282；all P<0.05 ）. Conclusion Selfmanagement ability is correlated with thedelivery outcome of GDM pregnant women.Taking intervention measures to help GDM pregnant women improve their self-management ability can help control their weight gain during pregnancy，reduce the risk of macrosomia and complications，and optimize pregnancy outcome.

[Keywords] Gestational diabetes melitus; Self-management; Delivery outcome

妊娠期糖尿病（gestational diabetesmellitus，GDM）属孕期常见健康问题，指孕妇妊娠期内首次发现的糖代谢异常，妊娠后孕妇生理会产生一系列变化，葡萄糖需要量增加，胰岛素分泌相对不足，胰岛素抵抗增加，最终导致GDM发生[1-2]。（剩余4160字）