综合护理干预对妊娠期糖尿病患者的影响  

Effect of Comprehensive Nursing Intervention on Patients with Gestational Diabetes Mellitus

作　　者：沈雪琴 苏淑芳 杨琴 SHEN Xueqin;SU Shufang;YANG Qin(Delivery Room,Longyan People's Hospital,Longyan 364000,Fujian,China)

机构地区：[1]龙岩人民医院产房,福建龙岩364000

出　　处：《糖尿病新世界》2024年第23期129-132,共4页Diabetes New World

摘　　要：目的 探讨综合护理干预对妊娠期糖尿病患者的影响。方法 选取2023年6月-2024年6月龙岩人民医院接收的82例妊娠期糖尿病患者,按护理方法不同分为观察组(接受综合护理干预,n=41)和对照组(接受常规护理,n=41)。比较两组血糖指标、护理满意度、不良妊娠结局发生率、焦虑自评量表(Self-rating Anxiety Scale, SAS)评分、抑郁自评量表(Self-rating Depression Scale, SDS)评分。结果 护理后,与对照组比较,观察组空腹血糖、糖化血红蛋白、餐后2 h血糖水平均更低,差异均有统计学意义(P均<0.05)。与对照组比较,观察组护理满意度更高,差异有统计学意义(P<0.05)。与对照组比较,观察组不良妊娠结局发生率更低,差异有统计学意义(P<0.05)。护理后,与对照组比较,观察组SAS、SDS评分均分更低,差异均有统计学意义(P均<0.05)。结论 妊娠期糖尿病患者接受综合护理干预可改善其血糖水平和心理状态,降低不良妊娠结局发生率,且护理满意度较高。Objective To explore the effect of comprehensive nursing intervention on gestational diabetes mellitus.Methods A total of 82 patients with gestational diabetes mellitus received by Longyan People's Hospital from June 2023 to June 2024 were selected as the research objects.According to different nursing methods,they were divided into observation group(receiving comprehensive nursing intervention,n=41)and control group(receiving routine nurs-ing,n=41).The blood glucose indexes,nursing satisfaction,incidence of adverse pregnancy outcomes,Self-rating Anxiety Scale(SAS)score and Self-rating Depression Scale(SDS)score were compared between the two groups.Results After nursing,compared with the control group,the levels of fasting blood glucose,glycosylated hemoglobin and 2 h postprandial blood glucose in the observation group were lower,and the differences were statistically signifi-cant(all P<0.05).Compared with the control group,the nursing satisfaction of the observation group was higher,and the difference was statistically significant(P<0.05).Compared with the control group,the incidence of adverse preg-nancy outcomes in the observation group was lower,and the difference was statistically significant(P<0.05).After nursing,compared with the control group,the average scores of SAS and SDS in the observation group were lower,and the differences were statistically significant(both P<0.05).Conclusion Comprehensive nursing intervention for pa-tients with gestational diabetes mellitus can improve their blood glucose level and psychological state,reduce the inci-dence of adverse pregnancy outcomes,and have higher nursing satisfaction.

关 键 词：妊娠期糖尿病 综合护理干预 焦虑自评量表 抑郁自评量表 

分 类 号：R47[医药卫生—护理学]