摘要
目的探究早期综合护理干预对妊娠期糖尿病产妇血糖控制的影响。方法选取100例妊娠期糖尿病产妇,按照随机数字表法分为两组,每组50例。对照组实施常规护理,观察组实施早期综合护理干预。比较两组血糖指标、生活质量、心理状态及母婴结局。结果干预前,两组空腹血糖(FPG)、糖化血红蛋白(HbAlc)及餐后2 h血糖(2h PG)水平比较,差异无统计学意义(P>0.05);分娩前,两组FPG、HbA1c及2h PG水平均明显低于干预前,且观察组明显低于对照组,差异有统计学意义(P<0.05)。干预前,两组生活质量评分比较,差异无统计学意义(P>0.05);分娩前,两组产妇生活质量评分较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);分娩前,两组SAS评分、SDS评分均低于干预前,且观察组明显低于对照组,差异具有统计学意义(P<0.05)。观察组的产妇不良结局发生率4.00%、新生儿不良结局发生率4.00%均低于对照组的16.00%、18.00%(P<0.05)。结论妊娠期糖尿病产妇实施早期综合护理干预,可强化血糖控制效果,提高生活质量,改善心理状态及母婴结局,值得临床推广普及。
Objective To explore the influence of early comprehensive nursing intervention on blood glucose control in pregnant women with gestational diabetes.Methods 100 pregnant women with gestational diabetes mellitus were selected and divided into two groups with 50 cases in each group according to random number table method.The control group received routine nursing,and the observation group received early comprehensive nursing intervention.Blood glucose index,quality of life,psychological state and maternal and infant outcomes were compared between the two groups.Results Before intervention,there were no significant differences in fasting blood glucose(FPG),glycosylated hemoglobin(HbAlc)and 2h postprandial blood glucose(2h PG)levels between the two groups(P>0.05).Before delivery,the levels of FPG,HbA1c and 2h PG in 2 groups were significantly lower than before intervention,and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in quality of life scores between the two groups(P>0.05).Before delivery,the maternal life quality score in the two groups was higher than that before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05).Before delivery,SAS score and SDS score of both groups were lower than before intervention,and observation group was significantly lower than control group,the difference was statistically significant(P<0.05).The incidence of maternal adverse outcome was 4.00%and the incidence of neonatal adverse outcome was 4.00%in the observation group compared with 16.00%and 18.00%in the control group(P<0.05).Conclusion Early comprehensive nursing intervention for pregnant women with gestational diabetes can strengthen the effect of blood sugar control
作者
容羽孟
Rong Yumeng(Department of Obstetrics,The Third People's Hospital of Hechi,Hechi 547000,China)
出处
《实用妇科内分泌电子杂志》
2023年第4期112-115,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
妊娠期糖尿病
早期综合护理干预
血糖指标
生活质量
心理状态
Gestational diabetes mellitus
Early comprehensive nursing intervention
Blood glucose index
Quality of life
Mental state
