摘要
目的 分析以专科护士为主导的多学科团队(MDT)延续护理在妊娠期糖尿病伴妊娠期甲状腺功能减退症(甲减)患者中的应用效果。方法 选取50例妊娠期糖尿病伴妊娠期甲减患者,根据入院顺序奇偶性分为观察组与对照组,各25例。对照组患者实施常规产科护理,观察组患者在对照组基础上实施以专科护士为主导的MDT延续护理。比较两组护理效果。结果 护理前,两组空腹血糖(FBG)、餐后2 h血糖(2 hPBG)及糖化血红蛋白(HbAlc)水平比较,差异无统计学意义(P>0.05);护理后,两组FBG、2hPBG及HbAlc水平均低于护理前,且观察组患者明显低于对照组,差异具有统计学意义(P<0.05)。护理前,两组血清游离甲状腺素(FT4)、促甲状腺激素(TSH)水平比较,差异无统计学意义(P>0.05);护理后,两组FT4、TSH水平均低于护理前,且观察组患者低于对照组,差异具有统计学意义(P<0.05)。观察组焦虑、抑郁、外向刺激、内向刺激评分及总分均显著低于对照组,差异具有统计学意义(P<0.05)。观察组不良妊娠结局发生率为8.00%,显著低于对照组的32.00%,差异具有统计学意义(P<0.05)。结论 以专科护士主导的MDT延续护理干预,能够提升妊娠期糖尿病伴妊娠期甲减患者的血糖控制效果,改善其甲状腺功能,从而有效缓解其产前不良情绪,达到显著改善其妊娠结局的目的。
Objective To analyze the application effect of multidisciplinary team(MDT) led by specialist nurses in gestational diabetes mellitus(GDM) patients with hypothyroidism(hypothyroidism).Methods 50 patients with gestational diabetes mellitus and gestational hypothyroidism were selected and divided into observation group and control group according to the parity of admission order,25 cases in each group.Patients in the control group received routine obstetric care,while patients in the observation group received MDT continuation care led by specialist nurses on the basis of the control group.The nursing effects of the two groups were compared.Results Before nursing,there were no significant differences in fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPBG) and glycosylated hemoglobin(HbAlc) levels between the two groups(P>0.05).After nursing,the levels of FBG,2 hPBG and HbAlc in the two groups were lower than those before nursing,and the observation group was significantly lower than the control group,and the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in serum free thyroxine(FT) and thyroid stimulating hormone(TSH) levels between the two groups(P>0.05).After nursing,the levels of FTand TSH in the two groups were lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The scores of anxiety,depression,extroversion and introversion in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcome in the observation group was 8.00%,which was significantly lower than 32.00% in the control group,and the difference was statistically significant(P<0.05).Conclusion MDT continuing nursing intervention led by specialist nurses can improve the blood glucose control effect of gestational diabetes mellitus patients with gestational hypothyroidism,impro
作者
虞紫嫣
Yu Ziyan(Department of Gynecology,Nanjing Jiangbei Hospital,Nanjing 210000,China)
出处
《实用妇科内分泌电子杂志》
2021年第24期99-102,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
妊娠期糖尿病
妊娠期甲状腺功能减退症
专科护士
多学科团队
延续护理
Gestational diabetes mellitus
Hypothyroidism during pregnancy
Specialist nurses
Multidisciplinary team
Continuation of care
