个体化护理干预在妊娠合并糖尿病孕妇围产期的应用  

Application of individualized nursing intervention in perinatal period of pregnant women with diabetes mellitus

作　　者：温丽娥 黄奕辉[1] 戚艮有 陈尚轩[1] 陈志红[1] WEN Li＇e;HUANG Yihui;QI Genyou;CHEN Shangxuan;CHEN Zhihong(Department of Obstetrieal,Huangjiang Hospital of Dongguan City, Dongguan 523750,Chin)

机构地区：[1]广东省东莞市黄江医院产科,广东东莞523750

出　　处：《中国医药科学》2018年第8期188-190,223,共4页China Medicine And Pharmacy

摘　　要：目的探究妊娠期糖尿病孕产妇在围产期实施个性化护理对其血糖水平控制及母婴结局的影响。方法本次研究共选择58例妊娠期糖尿病孕产妇参与,所有孕产妇均于2014年5月~2017年9月期间入院,根据随机抽签法将本组孕产妇平均分为两组,对照组和研究组。对照组孕产妇围产期实施常规护理服务,研究组孕产妇则在围产期给予常规护理实施个性化护理干预,对两组孕产妇护理前后血糖水平进行记录和比较,同时计算两组孕产妇的母婴并发症发生率。结果经比较,护理前两组孕产妇血糖水平比较,差异无统计学意义(P>0.05);护理后两组相比护理前均有下降,其中研究组孕产妇血糖水平下降更为显著,差异有统计学意义(P<0.05)。同时研究组孕产妇母体并发生率(6.89%)、新生儿并发症发生率(27.56%)相比对照组(10.35%)、(34.48%)明显更低,差异有统计学意义(P<0.05)。结论妊娠期糖尿病孕产妇围产期实施个性化护理干预效果确切,能够有效地将孕产妇的血糖水平控制在合理范围内,并降低母婴并发症风险,因此该护理模式值得在临床中进行推广。Objective To explore the effect of personalized nursing on the control of blood sugar level and maternal and neonatal outcomes in pregnant women with gestational diabetes mellitus during perinatal period. Methods A total of 58 pregnant women with gestational diabetes mellitus were enrolled in this study.All pregnant women were admitted to the hospital from May 2014 to September 2017.According to the randomized drawing test,the pregnant women of this group were divided equally into two groups including control group and research group.The pregnant women during the perinatal period of control group were given implement routine care services,the pregnant women during the perinatal period of study group were given routine care and implement personalized nursing interventions.The blood glucose levels of pregnant women of two groups before and after nursing were recorded and compared,and the incidence of maternal and infant complications of pregnant women of two groups were calculated. Results There was no significant difference in the blood glucose level between the two groups before nursing（P 0.05）,but both of the two groups showed a significant decrease compared with those before the nursing.The blood glucose level of the study group was more significant,data differences have statistical significance（P 0.05）.At the same time, the incidence of maternal pregnancy in the study group（6.89%） and neonatal complication rate（27.56%） was significantly lower than those in the control group which were 10.34% and 34.48%.Statistical differences were statistically significant（P 0.05）. Conclusion The effect of individualized nursing intervention on perinatal period of pregnant women with gestational diabetes is accurate.It can effectively control the level of blood sugar of pregnant and lying in women within a reasonable range,and reduce the risk of maternal and infant complications.Therefore,the nursing mode should be popularized in clinical practice.

关 键 词：个性化护理 妊娠期糖尿病 围产期 母婴结局 

分 类 号：R473.71[医药卫生—护理学]