循证护理在妊娠期糖尿病患者护理中的应用价值研究  

Study on the Application Value of Evidence-based Nursing in the Nursing of Gestational Diabetes Mellitus Patients

作　　者：许美宗 XU Meizong(Department of Obstetrics and Gynecology,Meixi Town Health Center of Minqing County,Fuzhou 350800,China)

机构地区：[1]闽清县梅溪卫生院妇产科,福州350800

出　　处：《中国医药指南》2024年第35期168-171,共4页Guide of China Medicine

摘　　要：目的探究循证护理在妊娠期糖尿病(GDM)患者护理中的应用价值。方法选取闽清县梅溪卫生院2022年1月至2023年12月收治的GDM患者66例,根据随机数表法分为对照组(33例,常规护理)和观察组(33例,循证护理),对比两组血糖控制水平[空腹血糖(FPG)、餐后2 h血糖(2 h PBG)和糖化血红蛋白(HbA1c)]、自我管理行为[糖尿病自我管理行为量表(SDSCA)]、生存质量[糖尿病生存质量量表(DMQLS)]和不良妊娠结局发生情况。结果护理后,观察组FPG、2 h PBG、HbAlc水平更低(P<0.05);观察组SDSCA的药物治疗、血糖监测、饮食和运动维度评分更高(P<0.05);观察组DMQLS的疾病维度、心理维度、生理维度、社会维度和满意度维度评分更低(P<0.05)。观察组不良妊娠结局发生率更低(P<0.05)。结论予以GDM患者循证护理干预成效显著。Objective To explore the application value of evidence-based nursing in the care of patients with gestational diabetes mellitus(GDM).Methods A total of 66 GDM patients treated at Meixi Health Center in Minqing County from January 2022 to December 2023 were selected and divided into a control group(33 cases,routine nursing)and an observation group(33 cases,evidence-based nursing)according to the random number table method.The blood sugar control levels[fasting plasma glucose(FPG),2-hour postprandial blood glucose(2 h PBG),and glycated hemoglobin(HbA1c)],self-management behaviors[Summary of Diabetes Self-Care Activities(SDSCA)],quality of life[Diabetes Quality of Life Scale(DQOLS)],and adverse pregnancy outcomes were compared between the two groups.Results After nursing,the FPG,2 h PBG,and HbA1c levels in the observation group were lower(P<0.05).After nursing,the medication treatment,blood glucose monitoring,diet,and exercise dimension scores of SDSCA in the observation group were higher(P<0.05).After nursing,the disease dimension,psychological dimension,physiological dimension,social dimension,and satisfaction dimension scores of DQOLS in the observation group were lower(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was lower(P<0.05).Conclusions Evidence-based nursing intervention for GDM patients is significantly effective.

关 键 词：妊娠期糖尿病 循证护理 血糖水平 应用价值 

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