摘要
目的探讨妊娠期合并糖尿病患者实施护理干预后对其妊娠结局的影响。方法该研究选取其中2018年6月—2019年10月122例妊娠合并糖尿病患者为研究对象,回顾性分析患者的临床资料,将其中参与临床护理干预的61例患者纳入研究组,其余未参与临床护理干预的61例患者纳入对照组,比较两组妊娠结局。结果在血糖控制情况方面,研究组和对照组干预前空腹血糖、餐后2 h血糖和糖化血红蛋白水平对比,差异无统计学意义(P>0.05);研究组干预后上述3项血糖指标水平均低于对照组,差异有统计学意义(P<0.05)。研究组血糖控制达标率(86.88%),明显高于对照组达标率(62.30%),差异有统计学意义(P<0.05)。研究组患者妊娠期并发症发生率和新生儿并发症发生率分别为(9.84%)和(11.48%),均低于对照组(27.87%)和(29.51%),差异有统计学意义(P<0.05)。在负面情绪方面,研究组和对照组干预前焦虑自评量表评分(SAS)和抑郁自评量表评分(SDS)对比,差异无统计学意义(P>0.05);干预后,研究组SAS量表评分和SDS量表评分均低于对照组,差异有统计学意义(P<0.05)。结论对于妊娠合并糖尿病患者加强妊娠期间的护理干预可以有效稳定患者的血糖水平,疏导患者的负面情绪,更好的保障母体及胎儿的生命安全,临床干预效果显著。
Objective To investigate the effect of nursing intervention on pregnancy outcome of patients with diabetes mellitus during pregnancy.Methods In this study,122 cases of pregnancy patients with diabetes mellitus from June 2018 to October 2019 were selected as the research objects.Clinical data of the patients were retrospectively analyzed.61 patients who participated in clinical nursing intervention were included in the study group,and the remaining 61 patients who did not participate in clinical nursing intervention were included in the control group,and the pregnancy outcomes of the two groups were compared.Results In terms of blood glucose control,there were no statistically significant differences between the study group and the control group in the levels of fasting blood glucose,2 h postprandial blood glucose and HbA1c before intervention(P>0.05).The above 3 blood glucose indexes in the study group were lower than those in the control group after intervention,and the differences were statistically significant(P<0.05).The blood glucose control rate of the study group was 86.88%higher than that of the control group(62.30%),the difference was statistically significant(P<0.05).The incidence of pregnancy complications and neonatal complications in the study group were 9.84%and 11.48%,respectively,which were lower than those in the control group(27.87%and 29.51%),the difference was statistically significant(P<0.05).In terms of negative emotions,there was no statistically significant difference between the study group and control group in the scores of SAS and SDS before intervention(P>0.05).After intervention,the scores of SAS scale and SDS scale in the study group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion Strengthening nursing intervention during pregnancy for pregnant patients with diabetes mellitus can effectively stabilize the patient's blood glucose level,ease the patient's negative emotions,and better protect the life safety of the mother and fe
作者
蔡建瑜
CAI Jianyu(Department of Obstetrics,Leizhou People's Hospital,Leizhou,Guangdong Province,52420O China)
出处
《糖尿病新世界》
2021年第11期119-122,共4页
Diabetes New World Magazine
关键词
妊娠期
糖尿病
护理干预
妊娠结局
并发症
Pregnancy
Diabetes
Nursing intervention
Pregnancy outcome
Complications
