系统护理措施对妊娠期糖尿病患者妊娠结局的影响分析  

Analysis of the Effect of Systematic Nursing Measures on Pregnancy Outcome in Patients with Gestational Diabetes Mellitus

作　　者：杨甜甜 史亚玲 陈苏苏 YANG Tiantian;SHI Yaling;CHEN Susu(Department of Obstetrics and Gynecology,Shuyang County Maternal and Child Health Hospital,Suqian 223600,Ji-angsu,China;Operation Room,Shuyang County Maternal and Child Health Hospital,Suqian 223600,Jiangsu,China)

机构地区：[1]沭阳县妇幼保健院妇产科,江苏宿迁223600 [2]沭阳县妇幼保健院手术室,江苏宿迁223600

出　　处：《糖尿病新世界》2025年第5期20-23,共4页Diabetes New World

摘　　要：目的探究系统护理措施对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者妊娠结局的影响。方法选取2021年1月—2024年8月沭阳县妇幼保健院就诊的GDM患者60例,按照不同护理模式分为对照组(n=30,常规护理模式)、观察组(n=30,系统护理模式),比较两组不良妊娠结局发生风险、控糖效果及心理状态评分。结果观察组不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05)。分娩前,观察组空腹血糖、餐后2 h血糖水平均低于对照组,差异均有统计学意义(P均<0.05)。观察组分娩前焦虑、抑郁心理状态评分均低于对照组,差异均有统计学意义(P均<0.05)。结论GDM护理中实施系统护理措施,可降低不良妊娠结局发生风险,提高控糖效果并改善心理状态。Objective To explore the effect of systematic nursing measures on pregnancy outcome in patients with gestational diabetes mellitus(GDM).Methods A total of 60 patients with GDM who were treated in Shuyang County Maternal and Child Health Hospital from January 2021 to August 2024 were selected and divided into control group(n=30,routine nursing mode)and observation group(n=30,systematic nursing mode)according to different nursing modes.The risk of adverse pregnancy outcomes,glucose control effect and psychological state scores were compared between the two groups.Results The incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before delivery,the levels of fasting blood glucose and 2-hour postprandial blood glucose in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The scores of anxiety and depression before delivery in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The implementation of systematic nursing measures in GDM nursing can reduce the risk of adverse pregnancy outcomes,improve the effect of glucose control and improve the psychological state.

关 键 词：妊娠期糖尿病 系统护理措施 妊娠结局 控糖效果 心理状态 

分 类 号：R47[医药卫生—护理学]