妊娠期糖尿病患者一日门诊管理的效果评价  

Effect of one day outpatient management in patients with gestational diabetes mellitus

作　　者：张婵[1] 魏磊[2] 张华[1] 丁银辉 温温 ZHANG Chan;WEI Lei;ZHANG Hua;DING Yinhui;WEN Wen(Department of Obstetrics and Gynecology,Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing 100029,China;Peking University of Civil Aviation General Hospital,Beijing 100123,China)

机构地区：[1]首都医科大学附属北京安贞医院妇产科,北京市100029 [2]北京大学民航临床医学院,北京市100123

出　　处：《护理管理杂志》2018年第7期527-530,共4页Journal of Nursing Administration

摘　　要：目的观察妊娠期糖尿病患者母婴结局及一日门诊管理的效果。方法成立一日门诊管理小组,对妊娠24~28周的糖尿病患者采取授课、餐后20 min开始以1.0 km/h步行30 min运动,以及饮食控制法,比较其参加一日门诊管理前后体质指数、糖化血红蛋白、血糖,以及母婴并发症发生率。结果试验组体质指数、糖化血红蛋白、妊娠期高血压综合征发生率、重度子癫发生率、新生儿Apgar评分≤7分发生率低于对照组(P<0.01或P<0.05)。结论妊娠期糖尿病患者妊娠24~28周进行一日门诊综合管理,可降低妊娠期糖尿病孕妇血糖水平,显著改善妊娠期糖尿病母婴结局,是目前应对医疗资源不足的一种群体式管理模式。Objective To investigate the effect of one day outpatient management patients with gestational diabetes mellitus（ GDM）.Methods Totally,2 024 GDM patients（ 24 ~ 28 weeks） joined the study,and randomly divided into experimental group and control group.The experimental group received the one day outpatient management,including set up the one day outpatient team,conduct the education course,and exercise in postprandial 20 min and diet control. The control group was given routine care. The two groups of body mass index（ BMI）,glycosylated hemoglobin（ Hb A1 c）,blood glucose and the incidence of mother-baby complication were compared after intervention.Results The BMI,Hb A1 c,the incidence of pregnancy incluced hypertension,severe eclampsia,neonatal Apgar scoring less than seven in experimental group had significant difference with the control group（ P〈0.01 or P〈0.05）. Conclusion One day outpatient management on GDM patients in 24 ~ 28 weeks can significantly improve the levels of blood glucose and outcomes. This is a effective mode to deal with the shortage of medical resources.

关 键 词：妊娠期 糖尿病 一日门诊 护理管理 

分 类 号：R473.71[医药卫生—护理学]