妊娠糖尿病患者行连续性护理干预的效果观察

Effect of continuous nursing intervention on patients with gestational diabetes mellitus

目的探讨连续性护理干预对妊娠糖尿病患者的临床效果。方法从我院2014年4月至2016年9月收治的妊娠糖尿病患者中抽取150例作为研究对象,将其随机分为观察组和对照组,每组75例。观察组患者给予连续性护理干预,对照组患者给予常规护理,观察比较两组患者的临床效果。结果观察组患者中发生巨大儿、羊水异常、妊娠期高血压等并发症发生率明显低于对照组患者(P<0.05);干预后,两组患者的空腹血糖均有所改善,且观察组低于对照组,而观察组患者的糖化血红蛋白水平低于干预前及对照组(P<0.05),但干预前、后对照组患者的糖化血红蛋白水平无显著差异(P>0.05)。结论在妊娠糖尿病患者临床护理中实施连续性护理干预,可有效降低患者血糖,同时降低并发症发生率,值得推广。

Objective To explore the clinical effect of continuous nursing intervention on gestational diabetes mellitus.Methods From April 2014 to August 2016, 150 cases of patients with gestational diabetes mellitus were selected as the study subjects, which were randomly divided into observation group and control group, with 75 cases in each group. The observation group was given continuous nursing intervention, and the control group was given routine nursing. The clinical effects of the two groups were compared. Results The incidencs of complications such as macrosomia, amniotic fluid abnormalities and pregnancy induced hypertension in the observation group were lower than those in the control group（P〈0.05）. After intervention, the fasting blood glucose of the two groups improved, and that in the observation group was lower than the control group（P〈0.05）. The level of HbA1c in the observation group was lower than that before intervention and the control group（P〈0.05）, but there was no significant difference in the level of HbA1c before and after intervention in the control group（P〈0.05）. Conclusion Continuous nursing intervention used in clinical nursing of patients with gestational diabetes mellitus can reduce the blood sugar effectively and decrease the complication rate, which is worthy of promoting.