妊娠期糖尿病患者行循证护理对母婴并发症的研究  

Study on the Effect of Evidence-based Nursing on Complications of Mother and Infant in Patients with Gestational Diabetes

作　　者：兰小燕 LAN Xiao-yan(The First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350004 China)

机构地区：[1]福建医科大学附属第一医院,福建福州350004

出　　处：《糖尿病新世界》2020年第17期23-25,共3页Diabetes New World Magazine

摘　　要：目的探讨妊娠期糖尿病患者行循证护理对母婴并发症的研究。方法选定该院于2017年10月—2019年5月收诊的70例妊娠期糖尿病患者,等距抽样法分为观察组(基础干预+循证护理,35例)与对照组(基础干预,35例)2组,比较组间指标详情。结果观察组糖化血红蛋白(6.24±0.75)%、餐后2 h血糖(6.37±0.51)mmol/L、空腹血糖(4.03±0.35)mmol/L、MSSNS总分(51.95±6.24)分均低于对照组(P<0.05);观察组巨大儿、高胆红素血症等不良妊娠结局的发生率(2.86%),产褥感染、妊高症等不良妊娠并发症的发生率(5.71%)均低于对照组(P<0.05)。结论循证护理可对妊娠期糖尿病患者血糖水平与妊娠结局进行改善,值得使用。Objective To explore the study of evidence-based nursing on mother and infant complications in patients with gestational diabetes.Methods Selected 70 patients with gestational diabetes in our hospital from October 2017 to May 2019,and divided them into observation group(basic intervention+evidence-based nursing,35 cases)and control group(basic Intervention,35 cases)2 groups,compare the index details between groups.Results In the observation group,glycosylated hemoglobin(6.24±0.75)%,2 h postprandial blood glucose(6.37±0.51)mmol/L,fasting blood glucose(4.03±0.35)mmol/L,and MSSNS total score(51.95±6.24)points were all lower than control group(P<0.05);the incidence of adverse pregnancy outcomes such as macrosomia and hyperbilirubinemia in the observation group(2.86%),and the incidence of adverse pregnancy complications such as puerperal infection and pregnancy-induced hypertension(5.71%),were lower than the control group(P<0.05).Conclusion Evidence-based nursing can improve the blood glucose level and pregnancy outcome of patients with gestational diabetes and is worthy of use.

关 键 词：母婴并发症 循证护理 妊娠糖尿病 

分 类 号：R47[医药卫生—护理学]