妊娠糖尿病患者护理中运用健康教育的临床价值及对不良妊娠结局发生率的影响分析  

Analysis of the clinical value of health education in the nursing of patients with gestational diabetes and itsinfl uence on the incidence of adverse pregnancy outcomes

作　　者：范会芳[1] 刘霞[1] Fan Huifang;Liu Xia(Department of Obstetrics and Gynecology,Tianshui Hospital of Traditional Chinese Medicine,Tianshui 741000,China)

机构地区：[1]甘肃省天水市中医医院妇产科,甘肃天水741000

出　　处：《实用妇科内分泌电子杂志》2021年第4期68-70,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨妊娠糖尿病患者护理中运用健康教育的临床价值及对不良妊娠结局发生率的影响。方法选取58例妊娠糖尿病患者,依照护理方式不同分为对照组与观察组,每组29例。对照组患者给予常规护理,观察组在常规护理基础上加强健康教育,比较两组患者血糖指标、护理依从性及不良妊娠结局发生情况。结果观察组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(7.14±1.25)mmol/L、(7.98±1.42)mmol/L、(6.57±1.19)%,对照组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(8.01±1.22)mmol/L、(9.01±1.14)mmol/L、(7.34±1.38)%,观察组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平均明显低于对照组,差异有统计学意义(P<0.05)。观察组患者护理依从性为93.10%,明显高于对照组的65.52%,差异有统计学意义(P<0.05)。观察组患者不良妊娠结局发生率为10.34%,明显低于对照组的34.48%,差异有统计学意义(P<0.05)。结论对妊娠糖尿病患者在进行护理中强化健康教育,对提高患者血糖控制水平以及护理依从性均具有积极意义。Objective To explore the clinical value of health education in the nursing of patients with gestational diabetes and its infl uence on the incidence of adverse pregnancy outcomes.Methods Fifty-eight patients with gestational diabetes mellitus were selected and divided into control group and observation group according to different nursing methods,with 29 cases in each group.The control group was given routine nursing,and the observation group was given health education on the basis of routine nursing.The blood glucose index,nursing compliance and the occurrence of adverse pregnancy outcomes were compared between the two groups.Results Observation group of patients,2 h postprandial blood glucose,fasting glucose glycosylated hemoglobin levels respectively tendency for L(7.14±1.25),(7.98±1.42)tendency for L,(6.57±1.19)%,the control group,2 h postprandial blood glucose,fasting glucose in patients with a1c levels(8.01±1.22)respectively tendency for L,(9.01±1.14)tendency for L,(7.34±1.38)%,observation group of patients,2 h postprandial blood glucose,fasting glucose glycated hemoglobin levels were signifi cantly lower than the control group,The difference was statistically signifi cant(P<0.05).The nursing compliance of observation group was 93.10%,which was signifi cantly higher than that of control group(65.52%),the difference was statistically signifi cant(P<0.05).The incidence of adverse pregnancy outcome in observation group was 10.34%,which was signifi cantly lower than that in control group(34.48%),with statistical signifi cance(P<0.05).Conclusion Strengthening health education in clinical nursing for patients with gestational diabetes has positive signifi cance in improving the level of blood glucose control and nursing compliance.

关 键 词：妊娠糖尿病 健康教育 不良妊娠结局 

分 类 号：R473.71[医药卫生—护理学]