循证护理对妊娠期糖尿病产妇血糖控制水平及妊娠结局的影响研究  

Study on the Effect of Evidence-based Nursing on Blood Glucose Control Level and Pregnancy Outcome of Pregnant Women with Diabetes

作　　者：张桃秀 ZHANG Tao-xiu(The Third District of Obstetrics,Xiamen Women's and Children's Hospital/Xiamen Maternal and Child Health Hospital,Xiamen,Fujian Province,361001 China)

机构地区：[1]厦门市妇女儿童医院产科三区/厦门市妇幼保健院,福建厦门361001

出　　处：《糖尿病新世界》2021年第1期165-167,171,共4页Diabetes New World Magazine

摘　　要：目的对妊娠期糖尿病产妇在采用循证护理后的血糖控制以及妊娠结局产生的影响进行探究。方法该院在2018年12月—2020年6月间收治的妊娠期糖尿病患者,从中抽取了80例患者作为样本,按照就诊顺序,将其分为观察组与对照组,对照组(n=40)在护理中,采用常规方案,观察组(n=40)患者则需要采用循证护理的方案,对两组患者在血糖控制以及妊娠结局方面的差异进行比较。结果在该次研究中,观察组患者进行循证护理以后,患者的血糖水平得到了显著改善,FPG、2 hPG以及HbAIc指标方面,分别为(5.65±1.21)mmol/L、(6.46±1.32)mmol/L以及(6.83±1.92)%,而对照组的指标分别为(6.58±1.47)mmol/L、(7.31±1.62)mmol/L以及(8.23±2.17)%,差异有统计学意义(t=6.213、5.874、6.214,P<0.05)。从妊娠结局来看,观察组患者在巨大儿以及剖宫产方面的发生率明显低于对照组,差异有统计学意义(P<0.05),在新生儿窒息、低血糖等情况方面同样低于对照组,差异有统计学意义(P<0.05)。结论在当前的临床护理中,妊娠期糖尿病患者通过采用循证护理,能够更好地提升对血糖的控制水平,改善妊娠结局,为孕妇与新生儿的生命安全提供可靠保障,临床推广价值较高。Objective To explore the influence of gestational diabetes mellitus on blood glucose control and pregnancy outcome after adopting evidence-based nursing.Methods For patients with gestational diabetes admitted to the hospital between December 2018 and June 2020,80 patients were selected as samples,and they were divided into observation group and control group according to the order of treatment.The control group(n=40)was adopt conventional plan in nursing care and the observation group patients(n=40)needed to adopt an evidence-based nursing plan to compare the differences in blood sugar control and pregnancy outcomes between the two groups.Results In this study,after the observation group received evidence-based care,the patients’blood glucose levels were significantly improved.FPG,2 hPG and HbAIc indicators were(5.65±1.21)mmol/L and(6.46±1.32)mmol/L,respectively and(6.83±1.92)%,while the indicators of the control group were(6.58±1.47)mmol/L,(7.31±1.62)mmol/L and(8.23±2.17)%,the difference was statistically significant(t=6.213,5.874,6.214,P<0.05).From the perspective of pregnancy outcome,the incidence of macrosomia and cesarean section in the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05),and the incidence of neonatal asphyxia and hypoglycemia was also lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion In the current clinical nursing,after adopting evidence-based nursing,patients with gestational diabetes can better improve the level of blood glucose control,improve the pregnancy outcome,and provide reliable protection for the life safety of pregnant women and newborns.The clinical promotion value is more valuable.

关 键 词：循证护理 妊娠期糖尿病 妊娠结果 血糖控制 

分 类 号：R47[医药卫生—护理学]