对妊娠期糖耐量异常孕妇实施产科门诊护理干预的效果分析

Analysis of the effect of obstetric outpatient nursing intervention on pregnant women with gestational impaired glucose tolerance

目的探究对妊娠期糖耐量异常(GIGT)孕妇实施产科门诊护理干预的效果。方法 68例GIGT孕妇,依据入院时间顺序分为对照组和实验组,各34例。对照组予以常规孕期保健,实验组在对照组基础上给予产科门诊护理干预。观察对比两组母婴结局;护理工作满意度;入组时、孕36周、分娩时的空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平。结果两组入组时、孕36周、分娩时FPG水平及入组时2 h PG水平对比,差异均无统计学意义(P>0.05);实验组孕36周、分娩时2 h PG水平均低于对照组,差异均具有统计学意义(P<0.05)。实验组早产、胎膜早破、妊娠期高血压疾病发生率分别为0、5.88%、0,均低于对照组的20.59%、26.47%、17.65%,差异均具有统计学意义(P<0.05)。两组妊娠期糖尿病、羊水过多、产后出血、宫内窘迫、巨大儿的发生率对比,差异均无统计学意义(P>0.05)。实验组护理工作满意度为94.12%(32/34),显著高于对照组的73.53%(25/34),差异具有统计学意义(P<0.05)。结论对GIGT孕妇予以产科门诊护理干预,可有效降低孕妇2 h PG水平,显著改善母婴结局,进一步提高护理工作满意度,值得临床推广应用。

Objective To investigate the effect of obstetric outpatient nursing intervention on pregnant women with gestational impaired glucose tolerance(GIGT). Methods A total of GIGT pregnant women were divided by admission order into control group and experimental group, with 34 cases in each group. The control group received routine pregnancy health care, and the experimental group received obstetric outpatient nursing intervention on the basis of the control group. Observation and comparison were made on maternal-infant outcomes, satisfaction on nursing work, fasting plasma glucose(FPG) and postprandial 2 h plasma glucose(2 h PG) at the time of admission, 36 weeks of gestation and delivery in two groups. Results Both groups had no statistically significant difference in FPG at the time of admission, 36 weeks of gestation and delivery and 2 h PG at the time of admission(P>0.05). The experimental group had lower 2 h PG at 36 weeks of gestation and delivery than the control group, and the difference was statistically significant(P<0.05). The experimental group had lower incidence of premature delivery, premature rupture of membranes and gestational hypertension respectively as 0, 5.88% and 0 than 20.59%, 26.47% and 17.65% in the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in incidence of gestational diabetes mellitus, polyhydramnios, postpartum hemorrhage, intrauterine distress and macrosomia between the two groups(P>0.05). The experimental group had significantly higher satisfaction on nursing work as 94.12%(32/34)than 73.53%(25/34) in the control group, and the difference was statistically significant(P<0.05). Conclusion Obstetric outpatient nursing intervention for GIGT pregnant women can effectively reduce 2 h PG level of pregnant women, significantly improve maternal-infant outcomes, and further improve satisfaction on nursing work. It is worthy of clinical promotion and application.