个性化护理干预对妊娠糖尿病者血糖及妊娠结局的影响

Impact of personalized care intervention on blood glucose levels and pregnancy outcomes in patients with gestational diabetes

目的:探讨个性化护理干预对妊娠糖尿病(GDM)者妊娠期间血糖水平及妊娠结局的影响。方法:将85例确诊为GDM的患者随机分为常规性护理组(对照组)42例以及护理干预组(观察组)43例,比较两组患者干预前后妊娠期间的血糖水平及分娩等情况。结果:两组患者干预后空腹血糖(FPG)、餐后2h血糖(2hPBG)、糖化血糖蛋白(HbA1C)显著低于治疗前,而观察组孕妇妊娠并发症发生率显著低于对照组,胎儿及新生儿状况优于对照组,差异均有统计学意义(P<0.05)。结论:对GDM患者实施个性化护理干预能更有效控制患者血糖,降低并发症,减少分娩风险。

Objective： To explore the personalized nursing intervention on blood glucose levels and pregnancy outcomes in patients with gestational diabetes （GDM）. Methods： Eighty--five GDM patients were randomly divided into routine care group （control group, n=42） and nursing intervention group （observation group, n=43）. The blood glucose levels during pregnancy and pregnancy outcomes were evaluated. Results： After the intervention, the concentrations of fasting plasma glucose, postprandial glucose, glycosylated hemoglobin were significantly lower than those before treatment. The incidence of complications in the observation group was significantly lower than that of the control group （P 〈20.05）. And the fetus and neonatal conditions were better than that of the control group （P〈0.05）. Conclusion： The implementation of individualized nursing intervention on GDM patients can more effectively control blood sugar level, and reduce maternal and child complications as well as the risk of childbirth.