综合护理对妊娠期糖尿病的影响研究

Effect of comprehensive nursing on the gestational diabetes mellitus

目的:探讨综合护理对妊娠期糖尿病患者血糖、负性情绪和妊娠结局的影响。方法:将163例GDM患者随机分为观察组和对照组,对照组81例采用常规护理,观察组82例采用综合护理,比较两组入院时和分娩后的血糖、负性情绪及妊娠结局的改变。结果:分娩后,两组患者空腹血糖、餐后2h血糖、Hb Alc、SAS得分和SDS得分均显著下降,观察组下降幅度更大,差异均有统计学意义(均P<0.05)。观察组胎盘早剥、产后出血、泌尿系统感染、巨大儿、新生儿低血糖和早产儿的发生率低于对照组,差异有统计学意义(均P<0.05)。结论:与常规护理相比,综合护理干预更能有效控制妊娠期糖尿病患者的血糖水平,改善患者的焦虑和抑郁情绪,降低不良妊娠结局的发生率。

Objective: To investigate the effects of comprehensive nursing on blood sugar, negative emotions and pregnancy outcome among GDM patients. Methods: 163 GDM patients were randomly divided into observation group and control group, the control group received routine nursing and the observation group received comprehensive nursing, we compared the blood sugar, negative emotions and pregnancy outcome of two groups. Results: After delivery, fasting blood glucose, postprandial 2h plasma glucose, Hb Alc, SAS scores and SDS scores of patients in two groups were significantly decreased, while the observation group fell even more sharply, the differences were statistically all significant(all P<0.05). Incidence of Abruption, postpartum hemorrhage, urinary tract infections, huge children, neonatal hypoglycemia and premature children in observation group were lower than in the control group, the difference was all statistically significant(all P<0.05). Conclusion: Compared with usual nursing, comprehensive nursing intervention is more effective on controlling blood glucose levels in patients with gestational diabetes and improve the patient’s anxiety and depression, reduce incidence of adverse pregnancy outcomes.