妊娠合并糖尿病实施优质护理的妊娠结局影响分析

The Impact of High Quality Care on Pregnancy Outcome in Pregnancy With Diabetes Mellitus

目的分析对妊娠合并糖尿病患者实施优质护理对妊娠结局的影响。方法选取2016年6月—2017年6月本院收治的96例妊娠合并糖尿病患者进行观察,采用随机分组法分为优质组、对比组,每组各48例。对比组给予常规护理,优质组实施优质护理,观察两组护理效果。结果 (1)优质组孕妇不良妊娠结局事件发生率为41.67%,胎儿并发症发生率为18.75%;对比组孕妇不良妊娠结局事件发生率为77.08%,胎儿并发症发生率为58.33%;差异有统计学意义(χ~2=25.991 1,33.068 7,P<0.05)。(2)优质组、对比组餐后2 h血糖水平分别为(6.3±0.5)mmol/L、(12.1±2.4)mmol/L,差异具有统计学意义(t=16.391 2,P<0.05);优质组、对比组空腹血糖水平分别为(5.3±0.9)mmol/L、(11.0±3.1)mmol/L,差异有统计学意义(t=12.233 8,P<0.05)。(3)优质组、对比组护理满意度评分分别为(93.2±2.7)分、(84.4±4.1)分,差异有统计学意义(t=12.419 2,P<0.05)。结论优质护理能有效控制血糖,改善妊娠合并糖尿病患者的妊娠结局,减少母婴生产风险。

Objective To analyze the effect of high quality care on pregnancy outcome in pregnant women with diabetes mellitus. Methods96 pregnant women with diabetes mellitus were selected from June 2016 to June 2017 in our hospital and divided into quality group and comparison group, with 48 cases in each group. The comparison group was given regular care, and the quality group was given high quality care, and nursing effects of two groups were observed. Results（1） The incidence of adverse pregnancy outcomes was 41.67% and the complication of fetus was 18.75% in the quality group, which were 77.08% and 58.33% in comparison group respectively（χ2=25.991 1, 33.068 7, P〈 0.05）.（2） The blood glucose levels of 2 h after meal in two groups were（6.3±0.5） mmol/L and（12.1±2.4） mmol/L respectively（t=16.391 2, P 〈0.05）. The fasting blood glucose level of two groups were（5.3±0.9） mmol/L,（11.0±3.1） mmol/L respectively（t= 12.233 8, P〈 0.05）.（3） The nursing satisfaction scores of two groups were（93.2±2.7） points and（84.4±4.1） points respectively（t=12.419 2, P 〈0.05）. Conclusion High quality care can effectively control blood glucose, improve pregnancy outcome of pregnant women with diabetes mellitus, and reduce the risk of maternal and infant birth.