门诊延续性护理干预对妊娠期糖尿病孕妇预后改善影响分析

Effect of Outpatient Continuous Nursing Intervention on the Prognosis of Gestational Diabetes Pregnant Women

目的:研究门诊延续性护理干预对改善妊娠期糖尿病孕妇预后的影响。方法:选取2014年6月至2015年9月到我院诊治的104例妊娠期糖尿病孕妇,随机分为2组,各52例,对对照组孕妇进行常规的护理指导,观察组采用门诊延续性护理干预措施,观察2组孕妇的母婴结局,并进行比较。结果:观察组患者妊娠期高血压1例,糖尿病急性并发症、羊水过多、产褥感染发生的例数均为0例,相比对照组分别为8、5、6及6例,有明显降低(P<0.05)。观察组巨大儿、低血糖、胎盘窘迫、转入监护病房情况分别为2、1、1及4例,相比对照组的11、9、8、13例更少(P<0.05)。结论:临床上对妊娠期糖尿病孕妇采用门诊延续性护理干预措施,对降低围生期母婴并发症,改善患者妊娠预后等方面有着显著的影响,值得在临床推广。

Objective：To study the effect of outpatient continuous nursing intervention on the prognosis of gestational diabetes pregnant women. Methods：A total of 104 cases of gestational diabetes pregnant women in our hospital from Jun 2014 to Sep 2015 were selected and randomly divided into two groups. And 52 cases of the control group accepted routine nursing instruction,52 cases of the observation group accepted outpatient continuous nursing. The mother-infant end in the two groups was observed. Results：Observation group had 1 case of patient with gestational hypertension, and the number of acute complications of diabetes, polyhydramnios and puerperal infection were 0. In the control group there were 8 cases, 5 cases, 6 cases and 6 cases respectively. There was significant difference （P〈0.05） . The number of patients with fetal macrosomia, hypoglycemia, placenta distress and transferring into care unit in observation group were 2 cases,1 case,1 case and 4 cases,which was less than those in control group （11 cases, 9 cases, 8 cases and 13 cases）（P〈0.05） . Conclusion：Outpatient continuous nursing intervention on gestational diabetes pregnant women is useful to reduce complications of mother and infant and improve pregnancy outcomes.