针对性护理干预对妊娠期糖尿病患者血糖控制与妊娠结局的影响

The influence of targeted nursing intervention on blood glucose controlling and pregnancy outcome of patients with gestational diabetes mellitus

目的探讨针对性护理干预对妊娠期糖尿病患者血糖控制及妊娠结局的影响。方法选取2015年1月至2017年1月入院的100例妊娠期糖尿病患者作为研究对象,将其随机等分为对照组和试验组,对照组给予常规护理干预,试验组在此基础上给予针对性护理干预,比较两组患者临床相关指标评分、干预前后血糖水平、认知达标、妊娠结局、围产儿健康情况与家属护理满意度。结果试验组患者羊水指数、分娩时体重、BMI水平均低于对照组,两组比较差异有统计学意义(P<0.05);两组患者孕期增长体重比较差异无统计学意义(P>0.05);两组患者认知达标、妊娠结局与围产儿健康情况各项指标比较,除肺炎、缺血缺氧性脑病、巨大儿三项指标比较差异无统计学意义(P>0.05),试验组其他各项指标均优于对照组,两组比较差异有统计学意义(P<0.05);试验组患者家属护理满意度高于对照组,两组比较差异有统计学意义(P<0.05)。结论针对性护理干预应用于妊娠期糖尿病患者可有效控制血糖,妊娠结局满意,具有临床借鉴意义。

Objective To explore the effect of targeted nursing intervention on blood glucose controlling and pregnancy outcome of patients with gestational diabetes mellitus. Methods To select 100 patients with gestational diabetes who were admitted to the hospital from January 2015 to January 2017 as subjects,randomly divide them into control group and experimental group. The control group was given routine nursing intervention. The experimental group was given targeted nursing interventions,to compare clinical scores,scores of blood glucose before and after intervention,cognitive attainment,pregnancy outcome,perinatal health,and family care satisfaction. Results The amniotic fluid index,weight at delivery,and BMI were lower in the experimental group than in the control group. There was a statistically significant difference between the two groups（ P〈0. 05）. There was no statistically significant difference in the weight gain during pregnancy between the two groups（ P〉0. 05）. The cognitive standard and pregnancy outcomes were significant in both groups comparing with the indexes of perinatal children＇s health,there were no significant differences in the three indicators of pneumonia,hypoxic-ischemic encephalopathy,and macrosomia（ P〈0. 05）. The other indicators of the experimental group were better than the control group. There was statistically significant difference between the two groups（ P〈0. 05）. Satisfaction of the family members of the experimental group was higher than that of the control group. There was a statistically significant difference between the two groups（ P〈0. 05）. Conclusion Targeted nursing interventions for gestational diabetes patients can effectively control blood glucose; pregnancy outcome was satisfactory,with clinical reference.