失效模式和效应分析模式护理对妊娠糖尿病患者血糖控制情况的影响  

Effect of nursing of failure mode and effects analysis on blood glucose control of patients with gestational diabetes mellitus

作　　者：邓祎 刘奕希 刘洁 DENG Yi;LIU Yixi;LIU Jie(The Second Hospital,University of South China,Hengyang,Hunan,421001,China)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《中西医结合护理（中英文）》2023年第8期25-28,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探究失效模式和效应分析(FMEA)模式护理对妊娠糖尿病(GDM)患者血糖控制情况的影响。方法纳入2019年8月至2021年8月南华大学附属第二医院收治的94例GDM患者作为研究对象,并进行前瞻性、单中心对照研究,按抽签法对其进行分组,将47例患者设为对照组(接受常规护理),同时将47例患者设为观察组(接受FMEA模式护理)。比较2组的干预效果。结果干预前,2组的空腹血糖(FPG)和餐后2 h血糖(2hPG)水平经比较,均未显示差异存在统计学意义(P均>0.05)。干预1个月、干预2个月和分娩当天,2组的FPG和2hPG水平均较干预前降低(P均<0.05),且观察组的FPG和2hPG水平均低于同期对照组(P均<0.05)。观察组患者的不良妊娠结局总发生率(8.51%)低于对照组(27.66%);观察组新生儿的不良妊娠结局总发生率(6.38%)低于对照组(23.40%),Apgar评分高于对照组,且均有统计学差异(P均<0.05)。结论FMEA模式护理有助于改善GDM患者的血糖水平,且有助于降低不良妊娠结局发生率和减轻新生儿的窒息严重程度。Objective To explore the effect of nursing of failure mode and effects analysis(FMEA)on the blood glucose control in patients with gestational diabetes mellitus(GDM).Methods In this single-center,prospective,randomized controlled study,94 GDM patients admitted to the Second Hospital,University of South China from August 2019 to August 2021 were enrolled and grouped by drawing lots.The 47 patients who received routine nursing were set as the control group,while the 47 patients who received nursing of FMEA mode were set as the observation group.The intervention effect of the two groups was compared.Results Before the intervention,no significant differences were found in the levels of fasting plasma glucose(FPG)and 2-h postprandial plasma glucose(2hPG)between the two groups(both P>0.05).After 1 and 2 months of intervention and on the day of delivery,both groups showed decreases in the levels of FPG and 2hPG when compared with those before the intervention(all P<0.05),and the FPG and 2hPG levels in the observation group were lower than those in the control group(all P<0.05).The total incidence of adverse pregnancy outcomes in the patients of the observation group(8.33%)was lower than that in the patients of the control group(27.66%).The total incidence of adverse pregnancy outcomes in the newborns of the observation group(6.38%)was lower than that in the newborns of the control group(23.40%),and the Apgar score in the newborns of the observation group was higher than that in the newborns of the control group(all P<0.05).Conclusion The nursing of FMEA mode can help improve the blood glucose level of GDM patients and reduce the incidence of adverse pregnancy outcomes and the severity of neonatal asphyxia.

关 键 词：妊娠尿病 失效模式和效应分析模式护理 血糖控制 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]