针对性护理干预在妊娠期糖尿病患者中的应用效果  

Effects of targeted nursing intervention on patients with gestational diabetes mellitus

作　　者：王燕[1] 陶俊贞[1] 胡金美 潘一红[1] 颜小挺[1] Wang Yan;Tao Junzhen;Hu Jinmei;Pan Yihong;Yan Xiaoting(Department of Gynecology,Taizhou Central Hospital,Zhejiang Province,Taizhou 318000,China)

机构地区：[1]浙江省台州市中心医院妇科,318000

出　　处：《中华现代护理杂志》2019年第20期2594-2597,共4页Chinese Journal of Modern Nursing

基　　金：2016年浙江省医药卫生一般研究计划(2016KYA194).

摘　　要：目的探讨针对性护理干预在妊娠期糖尿病患者中的应用效果.方法选取2017年7月—2019年2月在浙江省台州市某医院诊治的108例妊娠期糖尿病患者为研究对象.按照随机数字表法将其分为干预组和对照组,每组各54例.对照组应用常规护理干预,干预组在对照组的基础上进行针对性护理,比较两组患者护理干预前后血糖水平、妊娠结局、新生儿并发症发生情况及护理满意度.结果护理干预前两组患者血糖水平比较差异无统计学意义(P>0.05);护理干预后,两组患者空腹血糖、餐后2h血糖及糖化血红蛋白水平均低于护理干预前,但干预组患者指标水平低于对照组,差异均有统计学意义(P<0.05);护理干预后,干预组患者恶性妊娠结局率、新生儿并发症发生率均低于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05).结论针对性护理干预能有效降低妊娠期糖尿病患者血糖水平,降低不良母婴结局的发生率,提高护理满意度,值得临床借鉴.Objective To discuss the effects of targeted nursing intervention on pregnancy outcome and neonatal weight in patients with gestational diabetes mellitus (GDM). Methods Totally 108 GDM patients treated in our hospital from July 2017 to February 2019 were selected and divided into intervention (n=54) and control (n=54) groups according to the random number table. Patients in the control group received conventional nursing care, while patients in the intervention group received targeted care on this basis. Patient's blood glucose level, pregnancy outcome, neonatal weight and satisfaction with nursing before and after nursing care were compared between the two groups. Results There was no statistically significant difference in blood glucose levels between the two groups before nursing intervention (P>0.05). Fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin levels were lower after nursing intervention in both groups. The levels of the intervention group were even lower than those of the control group, and there were statistically significant differences between the two groups (P<0.05). The incidence of malignant pregnancy outcome and neonatal complications of the intervention group were lower than those of the control group after nursing intervention, and patient's satisfaction with nursing was higher in the intervention group than in the control group, and there were statistically significant differences between the two groups (P<0.05). Conclusions Targeted nursing intervention can effectively reduce blood glucose levels of GDM patients and the incidence rate of adverse maternal and neonatal outcome, and improve patient's satisfaction, which is worth promoting in clinical practice.

关 键 词：妊娠结局 婴儿 新生 体重 糖尿病 妊娠 针对性护理 

分 类 号：R473.71[医药卫生—护理学]