雷达图辅助风险控制护理模式对围生期妊娠期糖尿病患者血糖控制及妊娠结局的影响  

Effects of Radar Chart-assisted Risk Control Nursing Mode on Blood Glucose Control and Pregnancy Outcomes in Patients with Perinatal Gestational Diabetes Mellitus

作　　者：林连 吴芸[1] 马丽梅 LIN Lian;WU Yun;MA Limei(Operating Room,Women´s and Children´s Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属妇女儿童医院手术室,福建厦门361000

出　　处：《糖尿病新世界》2022年第19期159-162,共4页Diabetes New World Magazine

摘　　要：目的观察雷达图辅助风险控制护理模式对围生期妊娠期糖尿病患者血糖控制及妊娠结局的影响。方法选取2020年12月—2021年12月厦门大学附属妇女儿童医院收治的138例妊娠期糖尿病患者,按随机数表法分为两组,各69例。对照组予以常规护理,观察组予以雷达图辅助风险控制护理。比较两组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)水平、健康促进生活方式量表(HPLP-Ⅱ)、自我护理能力表(ESCA)、妊娠结局。结果护理后,观察组FPG、2 hPG、HbA1c水平分别为(5.21±1.05)mmol/L、(7.15±1.49)mmol/L、(6.10±0.39)%显著低于对照组的(5.74±1.39)mmol/L、(7.81±1.98)mmol/L、(6.31±0.41)%,差异有统计学意义(P<0.05);观察组的HPLP-Ⅱ、ESCA得分分别为(188.32±17.81)分、(125.69±6.32)分显著高于对照组的(175.13±12.34)分、(119.54±7.87)分差异有统计学意义(P<0.05);随访至分娩,观察组剖宫产、新生儿窘迫、巨大儿发生率分别为30.43%、2.90%、4.35%显著低于对照组的50.72%、11.59%、15.94%差异有统计学意义(P<0.05),两组新生儿窒息发生率为0.00%和4.35%比较,差异无统计学意义(P>0.05)。结论雷达图辅助风险控制护理模式对围生期妊娠期糖尿病患者有积极影响,可有效控制血糖,避免不良妊娠结局。Objective To observe the effect of radar chart-assisted risk control nursing mode on blood glucose control and pregnancy outcomes in patients with perinatal gestational diabetes mellitus.Methods A total of 138 patients with gestational diabetes mellitus who were admitted to the Women and Children´s Hospital Affiliated to Xiamen University from December 2020 to December 2021 were selected.Divided into two groups according to the random number table method,they were divided into two groups,each with 69 cases.The control group received routine nursing care,while the observation group received radar-assisted risk control nursing.Fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbA1c)levels,health promotion lifestyle scale(HPLP-Ⅱ),selfcare ability scale(ESCA),and pregnancy outcomes were compared between the two groups.Results After nursing,the levels of FPG,2 hPG and HbA1c in the observation group were(5.21±1.05)mmol/L,(7.15±1.49)mmol/L,and(6.10±0.39)%,respectively,significantly lower than the control group(5.74±1.39)mmol/L,(7.81±1.98)mmol/L,(6.31±0.41)%with statistical significance(P<0.05).The HPLP-Ⅱand ESCA scores of the observation group were(188.32±17.81)points and(125.69±6.32)points respectively.The scores of(175.13±12.34)points and(119.54±7.87)points were significantly higher than those of the control group(P<0.05).From follow-up to delivery,the incidences of cesarean section,neonatal distress,and macrosomia in the observation group were 30.43%,2.90%,and 4.35%,which were significantly lower than those in the control group,50.72%,11.59%,and 15.94%,and the differences were statistically significant(P<0.05).The incidence of neonatal asphyxia between the two groups was 0.00%and 4.35%,and the differencewas not statistically significant(P>0.05).Conclusion Radar chart-assisted risk control nursing mode has a positiveimpact on patients with perinatal gestational diabetes mellitus,which can effectively control blood glucose andavoid adverse pregnancy outcomes.

关 键 词：雷达图 风险控制护理 围生期 妊娠期糖尿病 血糖 妊娠结局 

分 类 号：R59[医药卫生—内科学]