个性化护理干预对妊娠糖尿病围生期母婴并发症的影响

Influence of personalized nursing intervention on mother-infant complica-tions in perinatal period in gestational diabetes mellitus

目的 探讨个性化护理干预对妊娠糖尿病（GDM）围生期母婴并发症的影响。方法 选取2011年1月~2014年1月收治的200例GDM患者作为研究对象,将其随机分为观察组和对照组,每组100例。对照组给予常规护理模式,观察组给予个性化护理干预。观察并比较两组患者的分娩方式、妊娠期并发症、围生儿结局。结果观察组的自然分娩率高于对照组,羊水过多、产后出血的发生率显著低于对照组（P〈0.05）,但妊娠期高血压疾病、胎膜早破的发生率与对照组差异无统计学意义（P〉0.05）。观察组新生儿5 min Apgar评分≤7分、高胆红素血症、新生儿窒息、早产儿的发生率低于对照组,差异有统计学意义（P〈0.05）。此外观察组未出现胎儿宫内死亡,对照组出现胎儿死亡2例,但两组差异无统计学意义（P〉0.05）。结论 个性化护理干预能减少GDM患者发生不良的母婴结局,改善母婴预后。

Objective To explore the influence of individualized nursing intervention on mother-infant complications in perinatal period in gestational diabetes mellitus （GDM）. Methods 200 patients with GDM admitted into our hospital from January 2011 to January 2014 were selected as research objects.They were evenly divided into observation group and control group in random.In the control group,conventional nursing mode was provided,while in the observation group,personalized nursing intervention was adopted.The childbirth way,pregnancy complications,perinatal outcome in two groups were observed and compared. Results The natural delivery rate in observation group was higher than that of control group,and the incidence of hydramnios and postpartum hemorrhage were significantly lower than those of control group（P〈0.05）.But incidence of hypertensive disorder complicating pregnancy and premature rupture of membranes was not significantly difference with control group （P〉0.05）.The apgar score of the neonate at 5 min〈7 points,hyperbiliru- binemia,neonatal asphyxia,preterm infants in observation group were lower than those of the control group,the difference were statistically significant（P 〈 0.05）.Besides,there was no fetal death in uterus,but 2 cases occurred in diabetic group, the difference was significant （P〉0.05）. Conclusion Personalized nursing intervention can reduce the occurrence of mother-infant adverse outcomes in patients with GDM and improve their prognosis.