循环质量管理引导下的双向协同干预对GDM产妇妊娠结局的影响  

Effects of bidirectional collaborative intervention guided by circulation quality management for pregnant women with gestational diabetes mellitus on their pregnancy outcomes

作　　者：胡红霞 慈靖[1] 吴慧敏 HU Hongxia;CI Jing;WU Huimin(Anqing Municipal Hospital,Anqing,Anhui Province,246003)

机构地区：[1]安徽省安庆市立医院,246003

出　　处：《中国计划生育学杂志》2024年第1期112-115,共4页Chinese Journal of Family Planning

摘　　要：目的:探究循环质量管理(PDCA)引导下的双向协同干预对改善妊娠期糖尿病(GDM)患者影响.方法:选取2021年1月-2022年12月本院妇产科接诊的172例GDM产妇随机分为常规组和观察组各86例.常规组给予常规住院护理干预,观察组在常规组基础上给予PDCA引导下的双向协同的住院干预模式.对比两组干预前后血糖水平、新生儿Apgar评分、新生儿血糖水平、母婴结局和并发症.结果:干预后两组空腹血糖(FPG)和餐后2h血糖水平均降低且观察组低于常规组.观察组新生儿出生后1min、5min和10minApgar评分均高于常规组,新生儿出生6h、12h和24hFPG水平(3.89±0.15 mmol/L、3.98±0.26 mmol/L、3.88±0.19 mmol/L)均高于常规组(3.02±0.43 mmol/L、3.10±0.29mmol/L、3.06±0.31mmol/L),妊娠结局及相关并发症(16.3%)及新生儿结局及相关并发症(14.0%)均低于常规组(38.4%、30.2%)(均P<0.05).结论:应用PDCA引导下的双向协同干预管理,可显著改善GDM产妇和新生儿血糖水平,降低不良母婴结局和并发症发生率,临床效果较好.Objective:To explore the efects of bidirectional cllaborative intervention guided by circulation quality management for pregnant women with gestational diabetes mellitus(GDM)on their pregnancy outcomes,neonatal blood glucose level and complications.Methods:A total of 172 pregnant women with GDM were selected and were randomly divided into routine group and study group(86 cases in each group)from January 2021 to December 2022.The women in the control group were given routine inpatient nursing intervention,and the women in the study group were given bi-directional collaborative inpatient intervention mode guided by circulation quality management combined with routine inpatient nursing intervention.The blood glucose level before and after intervention.the neonatal Apgar score and blood glucose level,the maternal and infant outcomes,and the complications situation of the women were compared.between the two groups.Results:After the interwention,the fasting plasma glucose(FPG)and 2h postprandial plasma.glucose levels of the women in the two groups had decreased significantly,and which of the women in the study group were significantly lower than those of the women in the control group.The neonatal Apgar scores at lmin,5min and 10 min after birth in the study group were significantly higher than those of the women in the control group.The neonatal FPG levels at 6.12 and 24 hours after birth(3.89±0.15 mmol/L,3.98±0.26 mmol/L and 3.88±0.19 mmol/L)in the study group were significantly higher than those(3.02±0.43 mmol/L,3.10±0.29 mmol/L and 3.06±0.31 mmol/L)in the control group.The rates of the adverse pregnancy outcomes and the nconatal outcomes of the women in the study group were significantly lower than those of the women in the control group.The rates of related maternal complications(16.3%)and the related neonatal complications(14.0%)in the study group were significantly lower than those(38.4%and 30.2%)in the control group(all P<0.05).Conclusion:The application of bidirectional collaborative intervention managem

关 键 词：妊娠期糖尿病 循环质量管理护理干预 双向协同 母婴结局 新生儿血糖水平 

分 类 号：R473.71[医药卫生—护理学]