摘要
目的探讨连续护理干预在妊娠期糖尿病患者护理中的应用效果。方法选取2016 年1月~2018年1月我院收治的40例妊娠期糖尿病患者作为研究对象,采用随机数字表法将其分为参照组和研究组,每组各20例。参照组患者予以常规护理,研究组患者则在其基础上予以连续护理干预。比较两组患者干预前后的空腹血糖(FBG)、餐后2 h血糖(2 h BG)以及血红蛋白(HbA1c)等血糖指标的控制情况,观察统计两组患者的妊娠结局。结果干预前,两组患者的FBG、2 h BG及HbA1c水平比较,差异无统计学意义(P>0.05);干预后,两组患者的FBG、2 h BG以及HbA1c水平均明显低于干预前,差异有统计学意义(P<0.05);研究组患者干预后的FBG、2 h BG以及HbA1c水平低于参照组,差异有统计学意义(P<0.05);研究组剖宫产、产后出血、感染、早产、巨大儿、胎儿畸形以及新生儿黄疸的发生率均低于参照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病患者采取连续护理能够有效提高血糖的控制效果,降低产后母婴并发症,改善妊娠结局,值得在临床中应用和推广。
Objective To investigate the effect of continuous nursing intervention in nursing care gestational diabetes mellitus (GDM) patients. Methods From January 2016 to January 2018, 40 patients with GDM treated in our hospital were selected as subjects. They were divided into reference group and study group by random number table method, with 20 cases in each group. The patients in the reference group were given routine nursing, while the patients in the study group were given continuous nursing intervention on their basis. Fasting blood glucose (FBG), 2 h postprandial blood glucose (2 h BG) and hemoglobin (HbA1c) were compared between the two groups before and after intervention. And the pregnancy outcomes of the two groups were observed and counted. Results Before intervention, there was no significant difference in FBG, 2 h BG and HbA1c between the two groups (P>0.05). After intervention, the FBG, 2 h BG and HbA1c in the two groups were significantly lower than those before intervention (P<0.05), and FBG, 2 h BG and HbA1c in the study group were lower than those in the control group after intervention (P<0.05), the differences were statistically significant (P<0.05). The incidence of cesarean section, postpartum hemorrhage, infection, premature delivery, macrosomia, fetal malformation and neonatal jaundice in the study group were significantly lower than those in the control group (P<0.05). Conclusion Continuous nursing care for patients with gestational diabetes mellitus can effectively improve the effect of blood glucose control, reduce the complications of postpartum mother and child, and improve the outcome of pregnancy, which is worth applying and popularizing in clinical practice.
作者
胡雅婷
李红娟
HU Ya-ting;LI Hong-juan(Department of Gynaecology and Obstetrics, the 908th Hospital of PLA Joint Service Support Unit, Jiangxi Province, Yingtan 335000, China)
出处
《中国当代医药》
2019年第18期231-233,共3页
China Modern Medicine
关键词
连续护理
妊娠期糖尿病
血糖控制
妊娠结局
Continuous nursing
Gestational diabetes mellitus
Blood glucose control
Pregnancy outcome
