产科护士门诊病房一体化护理模式对妊娠期糖尿病孕妇的效果分析  

Analysis on the effect of integrated nursing model of obstetric nurses in outpatient ward on the pregnant women with gestational diabetes mellitus

作　　者：马凤珠 王晶[1] 

机构地区：[1]中国医科大学绍兴医院产科,浙江绍兴312030

出　　处：《中国现代医生》2017年第22期134-136,140,共4页China Modern Doctor

摘　　要：目的 探讨产科门诊病房一体化护理模式对妊娠期糖尿病的影响。方法选取100例妊娠糖尿病孕妇,随机分为观察组和对照组,各50例。对照组采用常规护理模式,观察组采用产科护士门诊病房一体化护理模式,对比分析两组孕妇护理满意度、血糖控制水平、孕妇并发症及新生儿并发症的情况。结果观察组孕妇各项症状改善明显,观察组孕妇护理满意度明显优于对照组,差异有统计学意义(P<0.05);护理前观察组与对照组的血糖水平无明显差异(P>0.05),护理后观察组的血糖控制水平优于对照组,差异有统计学意义(P<0.05),且观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组新生儿并发症发生率明显低于对照组,两组差异有统计学意义(P<0.05)。结论产科护士门诊病房一体化护理模式应用于妊娠期糖尿病孕妇能够较好地稳定患者血糖水平,积极改善孕妇症状,并降低孕妇与新生儿的并发症。Objective To investigate the effect of integrated nursing model of obstetric nurses in outpatient ward on the pregnant women with gestational diabetes mellitus. Methods A total of 100 pregnant women with gestational diabetes mellitus were selected and randomly divided into the observation group and the control group, with 50 pregnant women in each group. The control group was treated with conventional nursing mode, and the observation group was treated with integrated nursing model of obstetric nurses in outpatient ward. The nursing satisfaction degree, blood glucose con- trol level, pregnant women＂ complications and neonatal complications were compared and analyzed. Results The symp- toms in the observation group were improved significantly, and the nursing satisfaction degree in the observation group was significantly better than that in the control group, the difference was statistically significant （P〈0.05）. There was no significant difference in the blood glucose level between the observation group and the control group before nursing（P〉 0.05）. The level of blood glucose control in the observation group was superior to that in the control group after nursing, and the difference was statistically significant （P〈0.05）. The incidence rate of complications in the observation group was significantly lower than that in the control group. There was statistically significant difference in the nursing effect between the two groups（P〈0.05）; the neonatal complications in the observation group were significantly lower than those in the control group, and the difference was statistically significant（P〈0.05）. Conclusion The integrated nursing model of obstetric nurses in outpatient ward can be used to stabilize the blood glucose level of pregnant women with gesta- tional diabetes mellitus, positively improve the symptoms of pregnant women and reduce the complications of pregnant women and neonatal.

关 键 词：护理干预 妊娠糖尿病 并发症 血糖 护理满意度 

分 类 号：R473.71[医药卫生—护理学]