健康教育路径在家庭产房对糖尿病剖宫产产妇术中的实施效果观察  

Effect Observation of Health Education Pathway in the Familial Ward for Gestational Diabetes Mellitus Patients Underwent the Cesarean Section

作　　者：黄柳婷[1] HUANG Liu-ting(Labor Room of Jiangmen Maternity and Child Health Care Hospital, Jiangmen 529000,Guangdong Province, China)

机构地区：[1]广东省江门市妇幼保健院产房

出　　处：《罕少疾病杂志》2019年第3期78-80,共3页Journal of Rare and Uncommon Diseases

基　　金：2018年江门市医疗卫生领域科技计划项目(2018D017)

摘　　要：目的观察健康教育路径在家庭产房对糖尿病剖宫产产妇术中的实施效果。方法选取2017年1月至2018年3月入住我院VIP产科家庭病房的72例糖尿病产妇作为此次研究对象,按照随机数字表法分为对照组与观察组,每组各36例,对照组按照传统的护理及健康教育模式进行;观察组则按照健康教育路径实施,对比两组产妇术后恢复情况、产后并发症、健康知识掌握程度以及血糖变化。结果观察组术后肛门排气时间、下床活动时间、住院时间均短于对照组,差异对比有意义(P<0.05);观察组产妇产后并发症明显低于对照组,差异对比有意义(P<0.05),入组时两组产妇健康知识掌握水平对比无统计学意义(P>0.05),分娩后出院前,观察组剖宫产知识掌握及母乳喂养知识掌握评分均高于对照组,且观察组产后餐后2h血糖水平明显低于对照组,差异对比有意义(P<0.05)。结论健康教育路径在家庭产房中对糖尿病剖宫产产妇中具有重要的应用价值,促进产妇产后恢复,控制血糖水平。Objective To observe the application value of health education pathway in the familial ward for gestational diabetes mellitus(GDM) patients. Methods 72 GDM patients admitted from January 2017 to March 2018 in our VIP familial wards were selected and randomly assigned to control group and observation group, 36 cases each group. Patients received the conventional nursing and health education or health education pathway, respectively. The postoperative recovery conditions, postoperative complications, mastery degree of health knowledge and blood glucose were compared. Results The anal exhaust time, initial ambulant time and hospitalization time in the observation group was shorter than control group, with statistical difference(P<0.05), the incidence rate of postpartum complications in the observation group was lower than control group, with statistical differences(P<0.05), upon admission, the puerpera’s mastery degree of health knowledge showed no statistical difference(P>0.05), after delivery and before discharge from hospital, the mastery scores on the Cesarean section knowledge and breast-feeding knowledge in the observation group were higher while the 2-hour postprandial blood glucose levels were reduced, with statistical difference(P<0.05).Conclusion The health education pathway is of great importance to promote their postpartum recovery and control the blood glucose levels.

关 键 词：健康教育路径 家庭产房 糖尿病 剖宫产 

分 类 号：R719[医药卫生—妇产科学] R587[医药卫生—临床医学]