循征护理干预对妊娠糖尿病母婴结局的影响分析  

Analysis of the Effect of Evidence-based Nursing Intervention on the Maternal and Infant Outcome of Gestational Diabetes Mellitus

作　　者：张芳[1] 张红[2] 

机构地区：[1]山东大学附属济南市中心医院放射科,山东济南250013 [2]山东大学附属济南市中心医院妇产科,山东济南250013

出　　处：《糖尿病新世界》2015年第12期39-40,共2页Diabetes New World Magazine

摘　　要：目的分析妊娠糖尿病行循征护理干预对母婴结局的影响。方法回顾性分析2012年12月—2014年12月该院收治的70例妊娠糖尿病患者的临床资料,按数字表法分为观察组和对照组,每组35例。对照组行常规的护理干预,观察组行循征护理干预,观察其对母婴结局的影响。结果干预后,观察组2 hPG、FBG与HbA1c等血糖水平的改善情况均比对照组优,观察组胎膜早破、妊娠并高血压与早产的发生率均比对照组低,且新生儿高胆红素类血症与巨大儿的发生率均比对照组低,比较差异有统计学意义(P<0.05)。结论妊娠糖尿病患者行循征护理干预的效果显著,能够改善其血糖水平,并减少不良结局的发生。Objective To analyze the effect of evidence-based nursing intervention on the maternal and infant outcome of gestational diabetes mellitus.Methods A retrospective analysis was conducted on the clinical data of 70 cases with gestational diabetes mellitus admitted in our hospital from December 2012 to December 2014.The patients were divided into the observation group and the control group with 35 cases in each in accordance with the digital table method.The control group were given the conventional nursing intervention,and the observation group were given the evidence-based nursing intervention.And the nursing effect on maternal and infant outcome was observed in both groups.Results After intervention,compared with the control group,the observation group had much better improvement in the level of 2hPG,FBG and HbAlc,lower incidence of premature rupture of membranes,pregnancy-induced hypertension,premature birth,neonatal high bilirubin and macrosomia with statistically significant difference（P〈0.05）.Conclusion For patients with gestational diabetes mellitus,evidence-based nursing intervention has significant effect,which can improve the blood glucose level and reduce the occurrence of adverse outcome.

关 键 词：循征护理干预 母婴结局 妊娠 糖尿病 

分 类 号：R47[医药卫生—护理学]