Orem自理模式对妊娠期糖尿病病人分娩结局的影响

Influence of Orem self-care model on birth outcomes of gestational diabetes mellitus patients

[目的]探讨Orem自理模式对妊娠期糖尿病病人分娩结局的影响。[方法]选取64例妊娠期糖尿病病人,随机分为对照组和试验组,每组32例;对照组给予常规护理,试验组给予Orem自理模式护理,比较两组病人干预后血糖水平、妊娠结局及新生儿结局。[结果]试验组病人空腹血糖、餐后血糖均显著低于对照组,两组比较差异均有统计学意义(P<0.05);试验组病人妊娠高血压综合征、剖宫产、胎膜早破、产程延长、羊水过多发生率均显著低于对照组,两组比较差异均有统计学意义(P<0.05);试验组新生儿畸形、早产儿、巨大儿、胎儿窘迫、新生儿呼吸窘迫综合征发生率均显著低于对照组,两组比较差异均有统计学意义(P<0.05)。[结论]采用Orem自理模式可有效调节妊娠期糖尿病病人血糖水平,改善分娩结局。

Objective：To probe into the influence of Orem self care model on birth outcomes of gestational dia-betes mellitus patients.Methods：A total of 64 cases of gestational diabetes patients were randomly divided into control group and experimental group,32 cases in each;the patients in control group were given conventional nursing,and the patients in experimental group were given Orem self care model,then to compare the blood glucose level,pregnancy outcome and neonatal outcome after intervention between both groups.Results：The fasting blood glucose and postprandial blood glucose of experimental group patients were significantly lower than that in control group,and there was statistically significant difference between both groups （P〈0.05）;the incidence of hypertension syndrome of pregnancy,cesarean section,premature rupture of membranes,prolonged labor,polyhydramnios in patients in experimental group were significantly lower than that in control group（P〈0.05）;the incidence of neonatal malformation,preterm children,huge children,fetal distress and neonatal respir-atory distress syndrome incidence were significantly lower than that in control group,and there was statistically significant difference between both groups（P〈0.05）.Conclusion：The Orem self care model can effectively regulate blood glucose levels of gestational diabetes mellitus patients and improve the birth outcomes.