双模块匹配护理干预措施对妊娠期糖尿病患者血糖及分娩结局的影响研究  

Study on the Effect of Dual-module Matching Nursing Intervention Measures on Blood Glucose and Delivery Outcome in Patients with Gestational Diabetes

作　　者：张宁[1] ZHANG Ning(Department of Obstetrics and Gynecology,Shengli Oilfield Central Hospital,Dongying,Shandong Province,257000 China)

机构地区：[1]胜利油田中心医院妇产科,山东东营257000

出　　处：《糖尿病新世界》2021年第18期163-166,171,共5页Diabetes New World Magazine

摘　　要：目的探讨双模块匹配护理干预措施对妊娠期糖尿病患者血糖及分娩结局的影响。方法选取2020年1—12月该院收治的80例妊娠期糖尿病患者作为该次研究对象,按照随机原则分为观察组和对照组,各40例。对照组患者应用常规护理干预,观察组患者应用双模块匹配护理干预,主要包括首诊干预、复诊干预、住院分娩干预和产后干预4个模块,对比两组患者产前空腹血糖水平、体质量指数以及孕期体质量增长值。对比两组患者的分娩结局,包括胎儿窘迫、胎膜早破、巨大儿、剖宫产、产后出血等。结果观察组患者的产前空腹血糖(5.68±0.73)mmol/L、体质指数(29.84±1.35)kg/m2、体质量增长值(10.36±1.15)kg,优于对照组患者的产前空腹血糖(6.39±0.24)mmol/L、体质指数(32.77±1.96)kg/m2、体质量增长值(16.29±1.48)kg,差异有统计学意义(P<0.05)。观察组患者的胎儿窘迫、胎膜早破、巨大儿、产后出血、剖宫产等现象发生率分别为2.50%、7.50%、5.00%、5.00%、20.00%,优于对照组的17.50%、17.50%、7.50%、17.50%、42.50%,差异有统计学意义(P<0.05)。结论双模块匹配护理干预措施对妊娠期糖尿病患者血糖及分娩结局具有积极的影响效果,不仅能够显著改善血糖水平,控制体质量增长,而且能够保障分娩顺利,减少不良分娩结局的产生,临床效果满意。Objective To explore the effects of dual-module matched nursing interventions on blood glucose and delivery outcomes in patients with gestational diabetes.Methods 80 cases of gestational diabetes mellitus admitted to the hospital from January to December 2020 were selected as the subjects.According to the principle of randomization,they were divided into observation group and control group,40 cases in each group.Patients in the control group were treated with routine nursing intervention,and patients in the observation group were treated with dual-module matching nursing intervention,which mainly included four modules:first visit intervention,return visit intervention,hospital delivery intervention,and postpartum intervention.The two groups were compared with pre-pregnancy fasting blood glucose levels,body mass index and weight gain during pregnancy.The delivery outcomes of the two groups of patients were compared,including fetal distress,premature rupture of membranes,macrosomia,cesarean section,postpartum hemorrhage.Results The fasting blood glucose(5.68±0.73)mmol/L,body mass index(29.84±1.35)kg/m2 and weight gain value(10.36±1.15)kg in the observation group were better than prenatal fasting blood glucose(6.39±0.24)mmol/L,body mass index(32.77±1.96)kg/m2 and weight gain value(16.29±1.48)kg in the control group,the difference were statistically significant(P<0.05).The incidence of fetal distress,premature rupture of membranes,macrosomia,postpartum hemorrhage and cesarean section in the observation group were 2.50%,7.50%,5.00%,5.00%and 20.00%,respectively,which were better than 17.50%,17.50%,7.50%,17.50%and 42.50%in the control group,the difference were statistically significant(P<0.05).Conclusion The dual-module matching nursing intervention has a positive effect on the blood glucose and delivery outcome of patients with gestational diabetes.It can not only significantly improve the blood glucose level and control the weight gain,but also ensure the smooth delivery and reduce the adverse delivery outcome.T

关 键 词：双模块匹配护理 妊娠期糖尿病 空腹血糖 体质量控制 分娩结局 

分 类 号：R47[医药卫生—护理学]