针对性护理模式在妊娠糖尿病产妇早产预防及血糖控制中的应用效果研究

Study on the Application Effect of Targeted Nursing Mode on Preterm Birth Precaution and Blood Glucose Control of Women with Gestational Diabetes Mellitus

目的探讨针对性护理模式在妊娠糖尿病产妇早产预防及血糖控制中的应用效果。方法该院于2014年1月开始实施针对性护理模式,现回顾性分析2012年12月—2013年12月收治的60例妊娠糖尿病产妇的临床资料,实施常规护理模式,设为对照组。同时回顾性分析2014年1月—2015年1月收治的60例妊娠糖尿病产妇的临床资料,采用针对性护理模式,设为研究组。比较两组患者护理干预前后的血糖水平及妊娠结局,评价患者的早产预防及血糖控制情况。结果护理后,两组患者的FPG、2 h PBG及HbA1c水平均较护理前显著降低(P<0.05),且研究组低于对照组,差异有统计学意义(P<0.05)。研究组患者自然分娩的发生率显著高于对照组(P<0.05),且早产、晚期流产、剖宫产及胎膜早破的发生率低于对照组,差异有统计学意义(P<0.05)。研究组患者新生儿发生宫内窘迫、巨大儿、低血糖、低体重儿及新生儿窒息的概率低于对照组,差异有统计学意义(P<0.05)。结论对妊娠糖尿病产妇实施针对性护理模式,能够稳定产妇妊娠期血糖水平,预防早产,取得良好的妊娠结局,值得临床推广。

Objective This paper tries to explore the applicat ion effect of targeted nursing mode on preterm birth precaution and blood glucose control of women with gestational diabetes mellitus. Methods Targeted nursing mode has been imple-mented since January 2014 in this h o spi tal. 60 cases with gestational diabetes mellitus from December 2012 to December 2013 were chosen and retrospectively analyzed and adopted routine nursing mode, regarded as the control group. 60 cases from January 2014 to January 2015 were selected as the research group and adopted targeted nursing mode. The blood glu-cose levels and pregnancy outcomes were assessed and compared before and after nursing intervention of the two groups. Results The FPG; 2 hPBG and H bA1c levels of two groups were significantly lower after treatment th an before （ P 〈0.05）, and that of the research group was lower than the control group, so the difference was statist ical ly significant （ P 〈0.05）. The natural birth rate of research group was significantly higher th an that of the control group （ P 〈0.05）, and the incidence of late preterm birth, abortion, c esarean section, and premature rupture of research group was lower than the control group, so differences were statist ically significant （ P 〈0.05）. The incidence of intrauterine distress, macrosomia, hypoglycemia, low weight, and the probability of neonatal asphyxia were lower in the research group than the control group, differences were significant （ P 〈0.05）. Conclusion The implementation of targeted nursing mode on GDM patients can effectively control blood glucose levels, prevent premature birth, get good pregnancy outcomes, and it is worth application in the future.