三位一体无缝护理模式在妊娠糖尿病患者中的有效性应用  

Eff ectiveness of the trinity seamless nursing model in patients with gestational diabetes mellitus

作　　者：高智敏 Gao Zhimin(Department of Obstetrics and Gynecology,Jurong Maternal and Child Health Hospital,Zhenjiang 212400,China)

机构地区：[1]江苏省句容市妇幼保健院妇产科,江苏镇江212400

出　　处：《实用妇科内分泌电子杂志》2021年第3期77-80,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨三位一体无缝护理模式在妊娠糖尿病患者中的应用效果。方法选取80例妊娠糖尿病患者,采用数字奇偶法分为观察组与对照组,每组40例。观察组采用三位一体无缝护理模式,对照组采用常规护理模式。比较两组患者干预依从性、护理前后健康知识水平评分、不良妊娠结局发生情况及血糖控制情况。结果观察组患者生活规律、定期监测血糖以及定期复查比例分别为95.00%、92.50%、95.00%,均明显高于对照组的62.50%、57.50%、65.00%,差异有统计学意义(P<0.05)。护理前,两组患者孕期卫生、饮食控制、运动方式以及并发症预防评分比较,差异无统计学意义(P>0.05);护理后,观察组患者孕期卫生、饮食控制、运动方式以及并发症预防评分均明显高于对照组,差异有统计学意义(P<0.05)。观察组患者羊水过多、剖宫产、产后大出血以及胎膜破裂比例均明显低于对照组,差异有统计学意义(P<0.05)。护理前,两组患者空腹血糖(FBG)、餐后血糖(PBG)、糖化血红蛋白(HbAlc)水平比较,差异无统计学意义(P>0.05);护理后,观察组患者FBG、PBG、HbAlc水平均明显低于对照组,差异有统计学意义(P<0.05)。结论三位一体无缝护理模式应用妊娠糖尿病患者中,可显著提升干预依从性,提高其健康认知水平,改善不良妊娠结局,最终实现妊娠糖尿病患者有效预后。Objective To explore the application effect of the trinity seamless nursing mode in patients with gestational diabetes.Methods 80 cases of gestational diabetes mellitus were divided into observation group and control group by numerical odd-even method,40 cases in each group.The observation group adopted the trinity seamless nursing mode,and the control group adopted the conventional nursing mode.The intervention compliance,health knowledge scores before and after nursing,the occurrence of adverse pregnancy outcomes and blood glucose control were compared between the two groups.Results The proportion of living routine,regular monitoring of blood glucose and regular review in observation group were 95.00%,92.50%and 95.00%,respectively,which were signifi cantly higher than those in control group(62.50%,57.50%and 65.00%),the difference was statistically signifi cant(P<0.05).Before nursing,there was no signifi cant difference in the scores of pregnancy hygiene,diet control,exercise mode and complication prevention between 2 groups(P>0.05).After nursing,the scores of pregnancy hygiene,diet control,exercise mode and complication prevention in observation group were higher than those in control group,with statistical signifi cance(P<0.05).The proportions of hyperhydramnios,cesarean section,massive postpartum hemorrhage and rupture of membranes in observation group were significantly lower than those in control group,with statistical significance(P<0.05).Before nursing,there were no signifi cant differences in the levels of fasting blood glucose(FBG),postprandial blood glucose(PBG)and glycated hemoglobin(HbAlc)between 2 groups(P>0.05).After nursing,the levels of FBG,PBG and HbAlc in observation group were signifi cantly lower than those in control group,with statistical signifi cance(P<0.05).Conclusion The application of the Trinity seamless nursing model in patients with gestational diabetes mellitus can signifi cantly improve intervention compliance,improve their health cognition level,improve adverse pregnancy outcomes

关 键 词：妊娠糖尿病 三位一体无缝护理模式 干预依从性 健康知识水平 

分 类 号：R473.71[医药卫生—护理学]