手术室循证护理干预对妊娠糖尿病(GDM)剖腹产患者术中血糖及心理状态的影响  

Effect of Evidence-based Nursing Intervention in Operating Room on Intraoperative Blood Glucose and Psychological State of Cesarean Section Patients with Gestational Diabetes Mellitus(GDM)

作　　者：吴俊丽 WU Junli(Outpatient Clinic,Quanzhou Fuxing Maternity Hospital,Quanzhou,Fujian Province,362000 China)

机构地区：[1]泉州福兴妇产医院门诊,福建泉州362000

出　　处：《糖尿病新世界》2022年第12期132-135,共4页Diabetes New World Magazine

摘　　要：目的探讨妊娠糖尿病(GDM)剖腹产患者开展手术室循证护理干预的临床价值及对术中血糖的影响。方法选择2020年5月—2021年5月GDM患者84例,参考“系统抽样法”分为对照组、观察组,各42例;其中对照组予以常规手术室护理,观察组予以手术室循证护理干预;比较两组术中血糖变化、患者心理状态、并发症发生率、护理满意度。结果术前,两组血糖水平比较差异无统计学意义(P>0.05),术中,两组血糖水平均有所升高,观察组相较对照组低,差异有统计学意义(P<0.05)。较干预前,两组患者SAS、SDS评分均下降,而观察组下降程度较对照组更明显,差异有统计学意义(P<0.05)。观察组并发症发生率较对照组更低,护理满意度较对照组更高,差异有统计学意义(P<0.05)。结论针对GDM患者开展手术室循证护理干预,有利于更好地稳定术中血糖,控制患者不良心理情绪,确保手术顺利开展,同时预防及降低并发症发生率,以促进患者术后快速康复。Objective To investigate the clinical value of evidence-based nursing intervention in the operating room and its influence on intraoperative blood glucose in patients with gestational diabetes mellitus(GDM)undergoing cesarean section.Methods From May 2020 to May 2021,a total of 84 patients with GDM were divided into the control group and the observation group with reference to the"systematic sampling method",with 42 cases in each group.The control group received routine operating room nursing,and the observation group received evidence-based nursing intervention in operating room.The intraoperative blood glucose changes,patients'psychological state,complication rate,and nursing satisfaction of the two groups were compared.Results Before surgery,the blood glucose levels of the two groups were compared,the difference was not statistically significant(P>0.05).During the operation,the blood glucose levels in the two groups were increased,but the observation group was lower than the control group,the difference was statistically significant(P<0.05).Compared with before intervention,the SAS and SDS scores of the two groups were decreased,and the degree of decrease in the observation group was more obvious than that in the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group was lower than that of the control group,and the nursing satisfaction was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Carrying out evidence-based nursing intervention in the operating room for GDM patients is beneficial to better stabilize intraoperative blood glucose,control the patients'negative psychological emotions,and ensure the smooth operation of the operation,prevent and reduce the incidence of complications,so as to promote the rapid recovery of patients after surgery.

关 键 词：妊娠糖尿病 手术室循证护理干预 剖腹产 术中血糖 

分 类 号：R473.71[医药卫生—护理学]