以循证思想为基础的路径式护理在妊娠期糖尿病患者中的应用

Application of pathway nursing based on evidence-based thinking in patients with gestational diabetes

目的探讨循证思想为基础的路径式护理对妊娠期糖尿病患者血糖及新生儿健康状况的影响。方法选取2017年1月至2018年6月我院收治的100例妊娠期糖尿病患者为研究对象,按照随机数字表法将其随机等分为研究组和对照组,对照组采用循证护理,研究组采用以循证思想为基础的路径式护理。比较两组患者血糖水平变化、妊娠期并发症发生情况以及新生儿健康状况。结果研究组空腹血糖及餐后2 h血糖改善程度均明显优于对照组(P <0. 05);研究组妊娠期高血压、胎膜早破、胎儿窘迫、羊水异常并发症发生率明显低于对照组(P <0. 05),巨大儿、早产儿、胎儿窒息、新生儿黄疸发生率明显低于对照组(P <0. 05)。结论以循证思想为基础的路径式护理在妊娠期糖尿病患者中应用,可明显降低妊娠期并发症发生率,改善新生儿健康状况。

Objective To explore the effect of pathway nursing based on evidence-based thinking on blood glucose and neonatal health in patients with gestational diabetes. Methods A total of 100 patients with gestational diabetes who were treated in our hospital from January 2017 to June 2018 were selected as the study subjects. They were divided into study group and control group randomly according to the random number table method. The control group was given evidence-based nursing, while the study group was treated with pathway nursing based on evidence-based thinking. Changes in blood glucose levels, complications during pregnancy, and neonatal health were compared between the two groups. Results The fasting blood glucose and postprandial blood glucose improvement after 2 hours of meal in the study group were significantly better than those in the control group(P<0.05). The incidence of gestational hypertension, premature rupture of membranes, fetal distress, and amniotic fluid abnormalities in the study group were significantly lower than that in the control group(P<0.05). The incidence of macrosomia,premature infants, fetal asphyxia, and neonatal jaundice was significantly lower than that of the control group(P<0.05). Conclusion The application of pathway nursing based on evidence-based thinking in patients with gestational diabetes can reduce the incidence of complications during pregnancy significantly and improve the health of newborns.