连续护理干预在妊娠期糖尿病患者护理中的应用效果  

Application Effect of Continuous Nursing Intervention in Nursing Care of Patients with Gestational Diabetes

作　　者：马云香 李秀梅 MA Yunxiang;LI Xiumei(Department of Laboratory Medicine,Qingzhou People's Hospital,Weifang,Shandong Province,262500 China)

机构地区：[1]青州市人民医院检验科,山东潍坊262500

出　　处：《糖尿病新世界》2021年第23期133-136,共4页Diabetes New World Magazine

摘　　要：目的探讨连续护理干预应用于妊娠期糖尿病患者护理过程的效果,为实践应用提供科学参考依据。方法选取2020年1月—2021年1月该院收治的妊娠期糖尿病患者108例作为研究对象,应用随机数表法将患者分为对照组(n=54)和观察组(n=54)。对照组患者进行常规护理干预,观察组患者在常规护理的基础上予以连续护理干预,对两组患者干预前后的空腹血糖、餐后2 h血糖水平进行监测,同时记录两组患者以及新生儿的不良结局发生情况。结果对照组和观察组患者干预前的空腹血糖、餐后2 h血糖水平比较,差异无统计学意义(P>0.05),分别接受不同护理措施后,两组患者的血糖有不同程度的降低,且观察组患者的空腹血糖、餐后2 h血糖水平降低更明显,差异有统计学意义(P<0.05)。观察组患者的不良结局事件,如剖宫产、产后出血、感染等的发生率为7.41%,明显低于对照组的25.93%,差异有统计学意义(P<0.05)。对照组新生儿出现巨大儿、胎儿畸形以及新生儿病理性黄疸等不良结局事件的发生率为27.78%,而观察组新生儿不良结局事件发生率为7.41%,差异有统计学意义(P<0.05)。结论对妊娠期糖尿病患者应用连续护理干预措施,能够有效降低患者的血糖水平并维持正常水平,同时患者及新生儿不良结局事件的发生得到有效控制,值得在临床实践中规范推广应用。Objective To explore the effects of continuous nursing intervention in the nursing process of patients with gestational diabetes, and to provide scientific reference for practical application. Methods A total of 108 gestational diabetes patients admitted to the hospital from January 2020 to January 2021 were selected as the research objects. The patients were divided into the control group(n =54) and the observation group(n =54) using the random number table method. Patients in the control group received routine nursing intervention, and patients in the observation group received continuous nursing intervention on the basis of routine nursing. The fasting blood glucose before and after intervention and the blood glucose levels of 2 h after meal were monitored in the two groups. At the same time, the adverse outcomes of the two groups of patients and newborns were recorded. Results There was no statistically significant difference between the fasting blood glucose before the intervention and the blood glucose level 2 h after the meal between the control group and the observation group(P>0.05). After receiving different nursing measures, the blood glucose of the two groups of patients decreased to different degrees, and the fasting blood glucose and the blood glucose levels of the observation group 2 h after a meal decreased more significantly, and the difference was statistically significant(P <0.05). The incidence of adverse outcome events in the observation group, such as cesarean section, postpartum hemorrhage, infection, etc., was 7.41%,which was significantly lower than 25.93% in the control group, and the difference was statistically significant(P<0.05). The incidence of adverse outcome events such as macrosomia, fetal malformations and neonatal pathologic jaundice in the control group was 27.78%, while the incidence of adverse outcome events in the observation group was 7.41%, and the difference was statistically significant(P<0.05). Conclusion The application of continuous nursing interventions to patients

关 键 词：连续护理干预 妊娠期糖尿病 临床效果 

分 类 号：R587.1[医药卫生—内分泌]