摘要
目的探究观察产科临床护理路径在妊娠期糖尿病孕妇中的应用效果。方法2019年1月—2020年2月,该院妇产科收治妊娠期糖尿病孕妇(单胎)102例,按照奇偶次序将孕妇分为两组,两组均给予妊娠糖尿病标准治疗,观察组治疗期间实施产科临床护理路径。对照组治疗期间实施产科常规护理干预,获取两组患者的空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(Ghb)水平、遵医嘱行为(健康饮食、适当运动、调节情绪、血糖监测)、孕妇产后并发症(产褥感染、羊水过多、产后出血、高血压)及新生儿结局(低血糖、巨大儿、宫内发育迟缓、呼吸窘迫),并进行对比分析。结果两组干预前的FPG、2 hPG、Ghb水平比较,差异无统计学意义(P>0.05);两组干预后的FPG、2 hPG、Ghb水平低干预前;观察组干预后的FPG、2 hPG、Ghb水平低于对照组,差异有统计学意义(P<0.05)。观察组干预后的遵医嘱行为明显优于对照组,差异有统计学意义(P<0.05)。观察组干预后的孕妇产后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组干预后的新生儿结局优于对照组,差异有统计学意义(P<0.05)。结论妊娠糖尿病孕妇实施产科临床护理路径,可有效改善孕妇的血糖水平,可有效提高孕妇的遵医嘱行为,可有效减少产妇的产后并发症,可优化新生儿结局,具有显著应用价值。
Objective To explore and observe the effect of obstetric clinical nursing path in pregnant women with gestational diabetes.Methods From January 2019 to February 2020,102 pregnant women(single births)with gestational diabetes were admitted to the Department of Obstetrics and Gynecology of the hospital.The pregnant women were divided into two groups according to the odd-even order.Both groups were given standard treatment for gestational diabetes,observation group implemented obstetric clinical nursing path during treatment.The control group implemented obstetric routine nursing intervention during the treatment period,and obtained the fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(Ghb)levels,and compliance behaviors(healthy diet,appropriate exercise,mood adjustment,blood glucose monitoring),postpartum complications of pregnant women(puerperal infection,polyhydra mnios,postpartum hemorrhage,hypertension)and neonatal outcomes(hypoglycemia,macrosomia,intrauterine growth retardation,respiratory distress)of the two groups of patients were compared and analyzed.Results The comparison of FPG,2 hPG,and Ghb levels between the two groups before intervention was not statistically significant(P>0.05);the levels of FPG,2 hPG,and Ghb after the intervention were low before the intervention;the observation group’s FPG,2 hFPG,and Ghb levels after the intervention was lower than that of the control group,the difference was statistically significant(P<0.05).The observation group's behavior of following the doctor's advice after intervention was significantly better than that of the control group,the difference was statistically significantt(P<0.05).The incidence of postpartum complications of pregnant women in the observation group after intervention was lower than that in the control group,the difference was statistically significant(P<0.05).The neonatal outcome of the observation group after intervention was better than that of the control group,the difference was statistically significa
作者
余毅宏
张明珠
YU Yi-hong;ZHANG Ming-zhu(Delivery Room,Women and Children's Hospital Affiliated to Xiamen University(Xiamen Maternal and Child Health Hospital),Xiamen,Fujian Province,361001 China)
出处
《糖尿病新世界》
2021年第2期120-123,共4页
Diabetes New World Magazine
关键词
产科临床护理路径
产科常规护理干预
妊娠期糖尿病
血糖水平
遵医嘱行为
产后并发症
Obstetric clinical nursing path
Obstetric routine nursing intervention
Gestational diabetes
Blood glucose level
Compliance behavior
Postpartum complications
