综合护理干预在妊娠期糖尿病孕妇中的应用

Application of comprehensive nursing intervention in pregnant women with gestational diabetes mellitus

目的探讨综合护理干预在妊娠期糖尿病(GDM)孕妇中的应用效果。方法选取2017年1月~2018年12月我院收治的800例GDM孕妇作为研究对象,按照随机法分为对照组(n=400)和观察组(n=400)。对照组采用常规护理方法,观察组采用综合护理干预方法。比较两组的血糖漏测率、母婴分离率、剖宫产率及新生儿并发症。结果观察组血糖漏测率、母婴分离率及剖宫产率低于对照组,差异均有统计学意义(P<0.05);观察组的早产儿、新生儿窒息及巨大儿发生率低于对照组,差异均有统计学意义(P<0.05);观察组护理总满意度为92.8%,高于对照组的83.5%,差异有统计学意义(P<0.05)。结论综合护理干预可明显降低GDM孕妇血糖漏测率,提高血糖监测依从性,同时也降低了剖宫产率和母婴分离率,减少新生儿并发症,改善了妊娠结局,既减轻了经济负担,也提高了GDM孕妇满意度。

Objective To explore the application effect of comprehensive nursing intervention in pregnant women with gestational diabetes mellitus(GDM). Methods Altogether 800 cases pregnant women with GDM admitted to the our hospital from January 2017 to December 2018 were selected as research objects. They were randomly divided into control group(n=400) and observation group(n=400). The control group adopted conventional nursing method, and the observation group adopted comprehensive nursing intervention method. Blood glucose leakage rate, maternal and infant separation rate, cesarean section rate and neonatal complications were compared between the two groups. Results The blood glucose leakage rate, maternal and child separation rate and cesarean section rate in the observation group were lower than those in the control group, with statistical differences(P<0.05). The incidence of premature, neonatal asphyxia and macrosomia in the observation group were lower than those in the control group, with statistical differences(P<0.05). The total satisfaction of the observation group was 92.8%, higher than that of the control group(83.5%), and the difference was statistically significant(P<0.05). Conclusion Comprehensive intervention can significantly reduce the rate of blood glucose leakage in GDM pregnant women, improve the compliance of blood glucose monitoring, reduce the rate of cesarean section and maternal and infant separation, reduce neonatal complications, improve the pregnancy outcome, and it does not only reduce the economic burden, but also improve the satisfaction of GDM pregnant women.