护理干预对妊娠期糖尿病孕妇妊娠结局的影响

Influence of nursing interventions on pregnant outcomes of women with gestational diabetes

目的探讨护理干预对妊娠期糖尿病(GDM)患者妊娠结局的影响。方法选择GDM患者142例为研究对象,分为干预组90例与对照组52例,对照组给予常规护理,干预组在此基础上加用干预性护理措施。观察入组患者妊娠末期体质量增加值、血糖控制满意度、妊娠结局及新生儿围生期并发症发生率。结果干预组妊娠期末体质量增加低于对照组,血糖控制满意度高于对照组(P<0.01),剖宫产、早产、胎膜早破及妊高征发生率显著低于对照组(P<0.05),新生儿围生期并发症发生率低于对照组(P<0.01)。结论护理干预可有效控制GDM患者血糖水平,降低妊娠不良结局及新生儿围生期并发症。

Objective To explore the influence of nursing interventions on pregnant outcomes of gestational diabetes mellitus（ GDM） women. Methods A total of 142 GDM patients were selected as study objects and randomly divided into intervention group（ 90 cases） and control group（ 52 cases）. Control group was treated with routine nursing,on this basis intervention group was added with intervention nursing. Increase value of body mass in late pregnancy,satisfactory rate of blood glucose control,pregnant outcomes and perinatal complication rate of neonates were observed. Results Intervention group was evidently lower in the increase value of body mass in late pregnancy,but was higher in satisfactory rate of blood glucose control than control group（ P 0. 01）. In addition,intervention group was markedly lower in rates of cesarean section,premature birth,premature rupture of membrane and pregnancy- induced hypertension（ P 0. 05）,as well as perinatal complication rate of neonates than control group（ P 0. 01）. Conclusion Nursing interventions can effectively control blood glucose level and reduce the poor pregnant outcomes and neonatal perinatal complications in GDM patients.