摘要
目的探究和分析健康指导和个性化护理对妊娠糖尿病患者血糖水平及妊娠结局的影响。方法选取该院在2018年1月-2019年8月期间收治的妊娠期糖尿病患者总计78例,按照随机数字表法分为研究组和对照组,各39例。对照组患者采取常规护理干预,研究组患者在对照组的基础上采取健康指导联合个性化护理,干预持续到患者顺利完成生产。比较两组患者对妊娠期糖尿病相关知识的知晓情况,干预前后的空腹血糖、餐后2 h血糖以及糖化血红蛋白的值,比较两组产妇的不良妊娠结局的发生率。结果研究组患者的妊娠期糖尿病相关知识的知晓情况明显优于对照组,差异有统计学意义(P<0.05);研究组患者的血糖控制情况(空腹血糖、餐后2 h血糖以及糖化血红蛋白)明显优于对照组,差异有统计学意义(P<0.05);研究组产妇的不良妊娠结局的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论健康指导和个性化护理应用于妊娠糖尿病患者能够提高产妇的重视度,有利于平稳地控制血糖水平,并且降低不良妊娠结局的发生率,值得在临床推广。
Objective To explore and analyze the effects of health guidance and personalized nursing on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus.Methods A total of 78 cases of gestational diabetes patients admitted to our hospital from January 2018 to August 2019 were selected and divided into study group and control group according to the random number table,39 cases each.The control group of patients to take routine nursing intervention,study group of patients on the basis of the control group of health guidance combined with personalized nursing,intervention continued until the patient successfully completed the production.Knowledge of gestational diabetes in the two groups,fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin before and after intervention,and incidence of adverse pregnancy outcomes in the two groups were compared.Results The knowledge of gestational diabetes in the study group was significantly better than that in the control group,the difference was statistically significant(P<0.05).The blood glucose control of the study group(fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin)was significantly better than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the study group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of health guidance and personalized nursing in patients with gestational diabetes can improve maternal attention,help to control blood glucose level smoothly,and reduce the incidence of adverse pregnancy outcomes,which is worthy of clinical promotion.
作者
闫军
YAN Jun(Obstetrics and Gynecology Maternal and Child Health Care Hospital,Huangdao District,Qingdao City,Qingdao,Shandong Province,266400 China)
出处
《糖尿病新世界》
2020年第15期183-185,共3页
Diabetes New World Magazine
关键词
健康指导
个性化护理
妊娠糖尿病
妊娠结局
Health guidance
Personalized care
Gestational diabetes
Pregnancy outcome
