个性化护理干预对妊娠期糖尿病患者血糖水平以及妊娠结局的影响效果评价

Effect of Personalized Nursing Intervention on Blood Glucose Level and Pregnancy Outcome in Patients with Gestational Diabetes

目的分析对妊娠期糖尿病患者实施个性化护理干预的效果,以及对其血糖水平以及妊娠结局的影响。方法采用奇偶法将2017年10月—2018年10月该院96例妊娠期糖尿病患者分为对照组(48例,给予临床常规护理)、观察组(48例,给予个性化护理干预)。比较两组患者护理前后血糖水平以及妊娠结局。结果护理前两组患者血糖水平各项指标比较差异无统计学意义(P>0.05),护理后观察组空腹血糖、糖化血红蛋白、餐后2h血糖等血糖指标均低于对照组各项血糖水平,组间对比差异有统计学意义(P<0.05);观察组顺产率43例(89.58%)高于对照组顺产率35例(72.92%),观察组剖宫产率5例(10.42%)低于对照组剖宫产率13例(27.08%),数据对比差异有统计学意义(P<0.05)。结论针对妊娠期糖尿病患者给予开展个性化护理干预,可全面稳定其血糖水平,改善患者妊娠结局,提高临床顺产率,可广泛将该种措施推广运用。

Objective To analyze the effect of personalized nursing intervention on gestational diabetes patients, and its effect on blood glucose level and pregnancy outcome. Methods A total of 96 patients with gestational diabetes mellitus admitted to our hospital from October 2017 to October 2018 were divided into the control group (48 cases, given routine clinical care) and the observation group (48 cases, given personalized nursing intervention). Blood glucose levels and pregnancy outcomes were compared between the two groups before and after treatment. Results There was no statistically significant difference in blood glucose levels between the two groups before treatment(P>0.05). After treatment, the blood glucose levels of fasting blood glucose, glycosylated hemoglobin and postprandial blood glucose in the observation group were lower than those in the control group. And the difference between the two groups was significant(P<0.05). The rate of production in the observation group was 43 cases(89.58%), which was statistically significantly higher than that in the control group(35 cases, 72.92%). The rate of caesarean section in the observation group was 5 cases(10.42%), which was significantly lower than that in the control group (13 cases, 27.08%), and the difference was statistically significant(P<0.05). Conclusion Individualized nursing intervention for patients with gestational diabetes can fully stabilize their blood glucose levels, improve their pregnancy outcomes, and improve the rate of production. This measure can be widely used.