摘要
目的分析个性化综合护理干预对妊娠期糖尿病患者的临床效果及妊娠结局的影响。方法选取2018年6月—2019年10月在该院产前检查并住院分娩的90例妊娠期糖尿病患者作为主要研究对象,按随机数字表法的分组方式,将90例患者分为对照组与观察组,每组45例,对照组进行常规护理,观察组进行个性化综合护理干预,对两组患者的血糖控制效果、妊娠结局、围生产儿结局以及护理满意率进行比较。结果干预前,两组患者的FPG、2 hPG及HbA1c水平对比,差异无统计学意义(P>0.05);干预后,观察组患者的FPG、2 hPG、HbA1c水平及羊水过多、妊娠高血压、剖宫产、泌尿生殖系统感染、产后出血的发生率均低于对照组,护理满意率明显比对照组高,围生儿低血糖、窒息以及畸形的发生率均比对照组低,差异有统计学意义(P<0.05)。结论对妊娠期糖尿病患者实施个性化综合护理干预,血糖控制效果较为良好,可有效改善妊娠结局,提高新生儿的生存质量,同时还能在一定程度上提高患者的护理满意率。
Objective To analyze the impact of personalized comprehensive nursing intervention on the clinical effects and pregnancy outcomes of patients with gestational diabetes.Methods A total of 90 patients with gestational diabetes who had undergone prenatal examinations and hospitalized delivery in the hospital from June 2018 to October 2019 were selected as the main research subjects.According to the random number table method,the 90 patients were divided into the control group and the observation group,with 45 cases in each group.The control group received routine nursing care,and the observation group carried out individualized comprehensive nursing intervention.The blood glucose control effect,pregnancy outcome,perinatal outcome and nursing satisfaction rate of the two groups were compared.Results There was no statistically significant difference in FPG,2 hPG and HbA1c levels between the two groups before intervention(P>0.05).After intervention,the incidence of FPG,2 hPG,HbA1c levels and amniotic fluid,pregnancy hypertension,cesarean section,genitourinary infection and postpartum hemorrhage in the observation group were lower than that in the control group.The nursing satisfaction rate was significantly higher than that in the control group.The incidence of hypoglycemia,asphyxia and malformation in perinatal children were lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of personalized comprehensive nursing intervention for patients with gestational diabetes has a relatively good blood glucose control effect,which can effectively improve pregnancy outcome and improve the quality of life of newborns.At the same time,it can also improve the patient's nursing satisfaction rate to a certain extent.It is worthy of clinical use,promotion and application.
作者
袁炎珍
YUAN Yanzhen(Department of Obstetrics and Gynecology,Siming Branch,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)
出处
《糖尿病新世界》
2021年第6期115-117,120,共4页
Diabetes New World Magazine
关键词
个性化综合护理
妊娠期糖尿病
临床效果
妊娠结局
Personalized comprehensive care
Gestational diabetes
Clinical effects
Pregnancy outcome
