针对性护理干预在妊娠合并糖尿病患者中的血糖控制效果及妊娠结局研究  

Study on the Effect of Targeted Nursing Intervention on Blood Glucose Control and Pregnancy Outcome in Patients with Pregnancy Complicated with Diabetes

作　　者：李健 LI Jian(Linshu County People's Hospital,Linyi,Shandong Province,276000 China)

机构地区：[1]临沭县人民医院,山东临沂276000

出　　处：《糖尿病新世界》2021年第24期1-4,共4页Diabetes New World Magazine

摘　　要：目的探究针对性护理干预在妊娠合并糖尿病患者中的血糖控制效果及妊娠结局。方法选取2019年4月—2020年4月该院收治的78例妊娠合并糖尿病患者作为研究对象。经随机数表法予以分组,其中参照组(39例)行常规护理,观察组(39例)行常规护理基础上的针对性护理干预。比较两组血糖控制效果及妊娠结局。结果两组护理前空腹血糖(FPG)、餐后2 h血糖(2 hPG)及糖化血红蛋白(HbA1c)水平相比,差异无统计学意义(P>0.05),护理后均比护理前低,且观察组低于参照组,差异有统计学意义(P<0.05)。两组护理后体质量、体质指数(BMI)均比护理前低,且观察组比参照组低,差异有统计学意义(P<0.05)。观察组产妇不良分娩情况发生率低于参照组,差异有统计学意义(P<0.05)。观察组新生儿不良情况发生率低于参照组,差异有统计学意义(P<0.05)。观察组护理满意度高于参照组,差异有统计学意义(P<0.05)。结论予以妊娠合并糖尿病患者针对性护理干预效果颇佳,利于患者血糖水平控制,且可缩短产妇产程,降低产妇产后出血量,并可有效避免产妇及新生儿不良妊娠结局,提高母婴安全性,临床应用价值较高,可行推广与应用。Objective To explore the effect of targeted nursing intervention on blood glucose control and pregnancy outcome in patients with pregnancy complicated with diabetes.Methods A total of 78 patients with gestational diabetes mellitus admitted to the hospital from April 2019 to April 2020 were selected as the research objects.They were grouped by random number table method,among which the reference group(39 cases)received routine care,and the observation group(39 cases)received targeted nursing intervention based on routine care.Compared the effects of blood sugar control and pregnancy outcome between the two groups.Results There was no statistically significant difference in fasting plasma glucose(FPG),postprandial 2 h blood glucose(2 hPG)and glycosylated hemoglobin(HbA1c)levels between the two groups before nursing(P>0.05).After nursing,blood sugar levels were lower than those before nursing,and the observation group were lower than the reference group,the difference was statistically significant(P<0.05).The body mass and body mass index(BMI)of the two groups after nursing were lower than those before nursing,and the observation group was lower than the reference group,the difference was statistically significant(P<0.05).The incidence of unhealthy childbirth in the observation group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The incidence of neonatal adverse events in the observation group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion The effect of targeted nursing intervention for patients with pregnancy complicated with diabetes mellitus is quite good,which is beneficial to the control of patients'blood glucose level and can shorten the delivery process of the parturient,reduce the amount of postpartum hemorrhage of the parturient,and effectivel

关 键 词：针对性护理干预 妊娠 糖尿病 血糖控制 妊娠结果 

分 类 号：R47[医药卫生—护理学]