助产士综合护理在妊娠期糖尿病患者中的应用效果及对母婴结局的影响  

The Clinical Effect of Midwife Comprehensive Nursing in Pregnant Women with Diabetes

作　　者：郑佳玲 廖丽明[1] ZHENG Jialing;LIAO Liming(Department of Obstetrics and Gynecology,The First Affiliated Hospital of Xiamen University,Xiamen 361001,China)

机构地区：[1]厦门大学附属第一医院产科,厦门361001

出　　处：《中国医药指南》2024年第28期168-170,共3页Guide of China Medicine

摘　　要：目的观察助产士综合护理在妊娠期糖尿病患者中的应用效果及对母婴结局的影响。方法纳入本院产科2020年12月至2023年11月收治的妊娠期糖尿病患者,通过随机数字表法将46例患者划分两组,每组23例。对照组予以常规护理,观察组予以助产士综合护理。评价两组患者干预前后血糖指标、情绪状态、自我效能、应对方式及母婴结局。结果干预前,两组空腹血糖(FBG)、餐后2 h血糖(2hPG)水平、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、简化中文版分娩自我效能量表(CBSEI-C32)、分娩应对量表(CCB)均无统计学差异。干预后,观察组FBG、2hPG、SAS、SDS低于对照组,CBSEI-C32评分、CCB评分高于对照组(均P<0.05)。观察组不良母婴结局发生率均低于对照组(均P<0.05)。结论妊娠期糖尿病患者应用助产士综合护理能更有效控制血糖,缓解患者负面情绪,提高自我效能与应对方式,改善母婴结局。Objective To observe the clinical effect of midwife comprehensive nursing in pregnant women with diabetes and its influence on maternal and infant outcomes.Methods All 46 patients with gestational diabetes admitted to the Department of Obstetrics of our hospital from December 2020 to November 2023 were divided into two groups by random number table method,with 23 patients in each group.The control group was given routine nursing,and the observation group was given comprehensive nursing by midwives.Blood glucose,emotional state,self-efficacy and coping style were evaluated before and after intervention between the two groups.Maternal and infant outcomes were evaluated.Results Befor intervention,there weren't statistical differences in the levels of fasting blood glucose(FBG)and 2 hour postprandial blood glucose(2hPG),the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),and the simplified Chinese version of the delivery self-efficacy scale(CBSEI-C32)and the delivery coping scale(CCB)between the two groups(all P<0.05).After the intervention,the above indexes in the observation group were better than those in the control group(all P<0.05).Compared with the control group,the incidence of adverse outcomes in the observation group was decreased(all P<0.05).Conclusions The comprehensive nursing of midwives for pregnant women with diabetes can better control blood glucose alleviate negative emotional state,improve self-efficacy and coping style,and improve maternal and infant outcomes.

关 键 词：妊娠期糖尿病 助产士综合护理 母婴结局 

分 类 号：R714.256[医药卫生—妇产科学] R473.71[医药卫生—临床医学]