围生期优质护理对妊娠期糖尿病患者血糖及妊娠结局的影响

The Effect of High-quality Perinatal Care on Blood Glucose and Pregnancy Outcome of Gestational Diabetes

目的观察围生期优质护理对妊娠期糖尿病患者血糖及妊娠结局的影响。方法回顾性选择2017年1月至2019年1月我院收治的妊娠期糖尿病患者86例,其中41例采取了常规护理,作为对照组;45例采取了围生期优质护理,作为研究组。对照组患者年龄22~41岁,平均年龄(28.6±4.2)岁,体质量(BMI)(25.7±2.8)kg/m^2,空腹血糖(6.8±1.2)mmol/L;研究组患者年龄23~40岁,平均年龄(27.9±4.5)岁,体质量(BMI)(26.1±2.6)kg/m^2,空腹血糖(6.7±1.3)mmol/L。结果两组患者在入院时空腹血糖及餐后2 h血糖无明显差异,经过护理后研究组患者血糖变化更平稳,更趋于正常水平,与对照组相比,差异值有统计学意义(P<0.05)。经过优质护理后,研究组患者剖宫产率、产后出血、宫内窘迫、早产率均有下降,新生儿评分更高,与对照组相比,差异值有统计学意义(P<0.05)。结论妊娠期糖尿病是孕妇围生期的常见疾病,如果处理不当会对母婴的安全产生很大威胁。对妊娠期糖尿病患者的护理也是产科护理的重点内容之一,各级医院也不断加强了对此类患者的重视。保证妊娠期糖尿病患者围生期血糖平稳,改善妊娠结局和保证母婴健康是围术期护理的主要目的。常规护理模式通常缺少针对性的护理措施,患者对疾病认识度较低,对治疗依从性较差,导致血糖控制并不理想。本研究所采取的优质护理措施弥补了这些缺点,通过详细、准确的评估,制定合理的膳食计划和运动计划,通过健康宣教和心理护理提高患者对疾病的认识度和依从性,采取科学的监测方案,从而实现稳定血糖,改善妊娠结局的目的。

Objective To observe the effect of perinatal quality nursing on blood glucose and pregnancy outcome in patients with gestational diabetes.Methods Retrospectively selected 86 patients with gestational diabetes admitted to our hospital from January 2017 to January 2019,of which 41 patients received routine care as a control group;45 patients underwent perinatal quality care as a research group.The patients in the control group were 22 to 41 years old,with an average age of(28.6±4.2)years,body mass index(BMI)(25.7±2.8)kg/m^2,fasting blood glucose(6.8±1.2)mmol/L;The study group patients aged 23 to 40 years,mean age(27.9±4.5)years,body weight(BMI)(26.1±2.6)kg/m^2,fasting blood glucose(6.7±1.3)mmol/L.Results The blood glucose changes in the study group were more stable and more normal.Compared with the control group,the difference was statistically significant.The cesarean section rate,postpartum hemorrhage,intrauterine distress,and premature rate of the study group decreased,and the neonatal score was higher.Compared with the control group,the difference was statistically significant.Conclusion Gestational diabetes is a common disease in the perinatal period of pregnant women.If not handled properly,it will pose a great threat to the safety of mothers and infants.The care of gestational diabetes patients is also one of the key contents of obstetric care,and hospitals at all levels have continuously strengthened the importance of such patients.Ensuring perinatal diabetes blood sugar is stable during pregnancy,improving pregnancy outcomes and ensuring maternal and child health are the main purposes of perioperative care.Conventional nursing models usually lack targeted nursing measures.Patients have low awareness of the disease and poor compliance with treatment,resulting in unsatisfactory glycemic control.The high-quality nursing measures adopted by this research make up for these shortcomings.Through detailed and accurate evaluation,a reasonable diet plan and exercise plan are formulated,and health awareness and psychological care are used to improve patients’awareness and compliance of the disease,and scientific monitoring is adopted.Program to achieve the goal of stabilizing blood glucose and improving pregnancy outcomes.