基于精准护理理念的干预方案在妊娠糖尿病患者中的应用  

Application of Intervention Based on Precise Nursing Model in Gestational Diabetes Mellitus Patients

作　　者：靳素梅[1] 朱玉花[2] 白立炜[1] 海洁[1] 贾冠华 JIN Sumei;ZHU Yuhua;BAI Liwei;HAI Jie;JIA Guanhua(Department of Endocrinology,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Clinical Training center,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Department of Nursing,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院内分泌科,河南新乡453100 [2]新乡医学院第一附属医院临床培训中心,河南新乡453100 [3]新乡医学院第一附属医院护理部,河南新乡453100

出　　处：《河南医学研究》2021年第27期5152-5154,共3页Henan Medical Research

基　　金：河南省医学科技攻关计划项目(201602153)。

摘　　要：目的通过基于精准护理理念干预方案的实施,探讨其对妊娠糖尿病(GDM)患者血糖控制、分娩方式及围生儿结局的影响。方法选取2019年6月至2020年10月在新乡医学院第一附属医院就诊的120例GDM患者,采用随机数表法将患者分为对照组和研究组,每组60例。对照组接受常规护理及健康宣教;研究组接受精准化护理策略。比较两组患者实施不同护理方式后血糖水平,统计两组患者分娩方式及围生儿结局。结果护理前两组患者血糖水平比较,差异无统计学意义(P>0.05)。护理后,两组患者空腹血糖(FPG)、餐后2小时血糖(2 h PG)水平均低于护理前,差异有统计学意义(P<0.05);研究组FPG、2 h PG水平低于对照组(P<0.05);研究组分娩方式、围生儿结局均优于对照组,差异有统计学意义(P<0.05)。结论通过对GDM患者实施基于精准护理理念的干预方案,可有效控制其血糖水平,降低剖宫产率、巨大儿发生率及新生儿低血糖发生率,改善妊娠结局,促进母婴健康。Objective To investigate the effects of precision nursing on blood glucose control,delivery modes and perinatal infant outcomes in patients with gestational diabetes mellitus(GDM).Methods A total of 120 patients with GDM who met the inclusion criteria the First Affiliated Hospital of Xinxiang Medical College from June 2019 to October 2020 were enrolled in the study.The pregnant women were divided into the control group(60 cases)and the intervention group(60 cases)by random number table.The control group was given routine nursing and health education.The intervention group was given a precision nursing strategy.Blood glucose levels after different nursing care were compared between the two groups,and the delivery modes and perinatal infant outcomes between the two groups were counted.Results There was no difference in blood glucose levels between the two groups before nursing(P>0.05).After nursing,the fasting blood-glucose(FPG)and 2-hour postprandial blood glucose(2 h PG)levels in the two groups were both lower than those before nursing(P<0.05).The FPG and 2 h PG levels of the intervention group were lower than the control group(P<0.05).Delivery modes and perinatal infant outcomes were better than those in control group(P<0.05).Conclusion Through the implementation of precise nursing for patients with GDM,the blood glucose level during pregnancy,the incidence of macrosomia and cesarean section rate can be effectively reduced,improve pregnancy outcomes and promote maternal and infant health.

关 键 词：妊娠期 糖尿病 精准护理 

分 类 号：R473.5[医药卫生—护理学]