摘要
目的 分析临床护理路径应用于初诊妊娠期糖尿病患者的效果。方法 选取2019年6月至2021年6月郑州大学第一附属医院产科收治的初诊妊娠期糖尿病患者为研究对象,分为对照组和干预组,每组43例,分别给予常规护理和临床护理路径,比较两组患者的血糖控制水平、住院时间、费用、护理满意度及血糖控制依从性。结果 护理后,干预组空腹血糖达标率(95.35% vs.72.09%,P=0.003)、早餐后2 h血糖达标率(97.67% vs.91.09%,P=0.001)、晚睡前1 h血糖达标率(95.35% vs.69.77%,P=0.001)均高于对照组,干预组糖化血红蛋白达标率高于对照组(97.67% vs.76.74%,P=0.004),住院时间短于对照组(8.45±1.32 vs.11.25±1.87,P <0.001),住院费用低于对照组(3 247.88±347.52 vs.4 128.96±351.44,P <0.001),护理满意度评分高于对照组(92.54±2.66 vs.90.12±1.04,P <0.001),血糖控制依从性高于对照组(95.35% vs.81.40%,P=0.044)。结论 临床护理路径较常规护理显著改善了初诊妊娠期糖尿病患者血糖水平,缩短了患者住院时间,提高了患者血糖控制的依从性。
Objective To analyze the application effect of clinical nursing pathway on newly diagnosed gestational diabetes mellitus patients.Methods The patients with diabetes during pregnancy who were included in the department of obstetrics of The First Affiliated Hospital of Zhengzhou University from June 2019 to June 2021 were divided into a control group(n=43)and an intervention group(n=43).The control group was given routine care and the intervention group was treated with clinical nursing pathway.The level of glycemic control,the hospitalization time,cost,nursing satisfaction and compliance with glycemic control between two groups were compared.Results After intervention,the fasting blood glucose compliance rate(95.35%vs.72.09%,P=0.003),the blood glucose compliance rate at 2 hours after breakfast(97.67%vs.91.09%,P=0.001),the 1-hour blood glucose compliance rate before bedtime(95.35%vs.69.77,P=0.001)and the glycated hemoglobin compliance rate(97.67%vs.76.74%,P=0.004)in the intervention group were higher than those in the control gourp.The hospitalization time of the intervention group was shorter than that of the control group (8.45±1.32 vs. 11.25±1.87, P<0.001), the hospitalization cost was lower than that of the control group (3 247.88±347.52 vs. 4 128.96±351.44, P<0.001), and the nursing satisfaction score was higher than that of the control group (92.54±2.66 vs. 90.12±1.04, P<0.001). After intervention, the total rate of blood glucose control compliance in the intervention group was higher than that in the control group (95.35% vs. 81.40%, P=0.044). Conclusion The clinical nursing pathway significantly improves the glucose level of newly diagnosed pregnant diabetes patients compared with conventional nursing, shortens the hospitalization time of patients, and plays a significant role in improving the compliance of patients with glycemic control.
作者
李宁
王磊
姚小露
Ning LI;Lei WANG;Xiao-Lu YAO(Department of Obstetrics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《数理医药学杂志》
CAS
2023年第7期537-542,共6页
Journal of Mathematical Medicine
关键词
妊娠期糖尿病
临床护理路径
血糖
依从性
Gestational diabetes mellitus
Clinical nursing pathway
Blood glucose
Compliance
