延续性护理模式在妊娠期糖尿病产后护理中的应用  

Application of continuous nursing model in postpartum nursing of gestational diabetes mellitus patients

作　　者：骆建梅 李芬 郑李明 符小英 LUO Jianmei;LI Fen;ZHENG Liming;FU Xiaoying(The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang,524003,China)

机构地区：[1]广东医科大学附属第二医院,广东省湛江市524003

出　　处：《护理实践与研究》2022年第8期1202-1205,共4页Nursing Practice and Research

基　　金：湛江市科技计划项目(编号:2020B101)。

摘　　要：目的 探讨延续性护理模式在妊娠期糖尿病(GDM)患者产后护理中的应用效果。方法 选取2020年5月—2021年5月医院收治的GDM患者80例,按照组间基本特征具有可比性的原则分为对照组与观察组,各40例。对照组采取常规护理干预,观察组实施延续性护理,两组均持续干预1个月。比较两组遵医行为、血糖水平、生活质量和并发症发生情况。结果 观察组遵医行为优于对照组,差异有统计学意义(P<0.05)。干预前,两组血糖水平比较,差异无统计学意义(P>0.05);干预后,观察组空腹血糖(FPG)、餐后2 h血糖(2hPG)水平均低于对照组,差异有统计学意义(P<0.05)。干预前,两组健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);干预后,观察组SF-36总评分较对照组高,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 延续性护理模式能够改善GDM患者遵医行为,有效控制血糖水平,减少并发症发生,提高生活质量。Objective To explore the application effect of continuous nursing model in postpartum nursing of gestational diabetes mellitus(GDM) patients.Methods To select 80 GDM patients admitted to the hospital from May 2020 to May 2021 as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 40 cases in each group.The control group was given routine nursing intervention,while the observation group was given continuous nursing,and both groups were given continuous intervention for 1 month.The compliance behavior,blood glucose level,quality of life and complications were compared between the two groups.Results The compliance behavior in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in the blood glucose level between the two groups(P>0.05).After intervention,the levels of fasting plasma glucose(FPG) and 2 hours postprandial blood glucose(2hPG) in the observation group were lower than those in the control group,and the differences were statistically significant(P <0.05).Before intervention,there were no significant differences in the score of short form health survey(SF-36) between the two groups(P>0.05).After intervention,the total score of SF-36 in the observation group was higher than that in the control group,and the difference was statistically significant(P <0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The continuous nursing model can improve the compliance behavior of GDM patients,effectively control the blood sugar level,reduce the occurrence of complications,and improve the quality of life.

关 键 词：妊娠期糖尿病 延续性护理 血糖水平 遵医行为 并发症 生活质量 

分 类 号：R473.71[医药卫生—护理学]