循证护理对妊娠期糖尿病(GDM)患者血糖水平及妊娠结局的影响研究  

Study on the Effect of Evidence-based Nursing on the Blood Glucose Level and Pregnancy Outcome of Patients with Gestational Diabetes Mellitus (GDM)

作　　者：方爱英[1] 郑玉玲[1] FANG Ai-ying;ZHENG Yu-ling(Department of Obstetrics,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院产科,福建厦门361000

出　　处：《糖尿病新世界》2020年第20期165-166,169,共3页Diabetes New World Magazine

摘　　要：目的探究对妊娠期糖尿病(GDM)患者实施循证护理的效果及对血糖水平及妊娠结局的影响。方法随机将2019年1—12月该院100例妊娠期糖尿病(GDM)患者分为对照组(50例,应用常规护理)、实验组(50例,应用循证护理)。对比两组患者血糖水平、妊娠结局、焦虑评分、治疗依从性评分。结果实验组孕28周、孕32周空腹血糖、餐后2 h血糖水平均低于对照组,差异有统计学意义(P<0.05);实验组孕32周焦虑评分较对照组更低,差异有统计学意义(P<0.05),且干预后治疗依从性评分较对照组更高,差异有统计学意义(P<0.05);实验组不良妊娠结局发生率(6.00%)低于对照组(22.00%),差异有统计学意义(P<0.05)。结论对妊娠期糖尿病患者实施循证护理切实可行,效果更佳。Objective To explore the effect of evidence-based nursing for patients with gestational diabetes mellitus(GDM)and its influence on blood sugar level and pregnancy outcome.Methods A total of 100 patients with gestational diabetes(GDM)in the hospital from January to December 2019 were randomly divided into a control group(50 cases,with routine care)and an experimental group(50 cases,with evidence-based care).The blood glucose level,pregnancy outcome,anxiety score and treatment compliance score were compared between the two groups.Results The experimental group’s fasting blood glucose at 28 weeks of gestation,32 weeks of gestation,and 2 h postprandial blood glucose levels in the experimental group were lower than those of the control group,the difference was statistically significant(P<0.05);the experimental group’s anxiety score at 32 weeks of gestation was lower than that of the control group,the difference was statistically significant(P<0.05),and treatment compliance after intervention The sex score was higher than that of the control group,the difference was statistically significant(P<0.05);the incidence of adverse pregnancy outcomes in the experimental group(6.00%)was lower than that of the control group(22.00%),the difference was statistically significant(P<0.05).Conclusion The implementation of evidence-based care for patients with gestational diabetes mellitus is feasible and effective.

关 键 词：妊娠期糖尿病 循证护理 血糖 妊娠结局 

分 类 号：R473.71[医药卫生—护理学] R-03[医药卫生—临床医学]