赋能式护理干预对妊娠糖尿病孕妇血糖控制及新生儿的影响

Effect of Empowering Nursing Intervention on Blood Glucose Control and Newborns in Pregnant Women with Gestational Diabetes

目的该次以妊娠糖尿病孕妇为例,对赋能式护理干预在其中的应用价值进行分析探讨。方法将该院在2018年1月-2019年2月收治的妊娠糖尿病孕妇100例作为研究的对象,进一步以随机数字分组法分成两个不同的组别,每组50例;其中,对照组给予常规护理方法,观察组给予赋能式护理干预,护理结束后对两组护理效果进行分析评价。结果①护理后,观察组的空腹血糖为(4.62±0.67)mmol/L、餐后2 h血糖为(6.72±1.23)mmol/L、糖化血红蛋白为(6.53±1.30)%,和对照组的(5.88±0.65)mmol/L、(8.78±1.32)mmol/L、(7.29±1.30)%对比均显著更低(t=5.128、5.289、5.127,P<0.05)。②观察组50例中,新生儿血糖紊乱一共为2例(4.00%)、巨大儿一共为1例(2.00%)、新生儿窒息一共为0例(0.00%);对照组50例中,新生儿血糖紊乱一共为7例(14.00%)、巨大儿一共为6例(12.00%)、新生儿窒息一共为3例(6.00%)。根据数据可知,观察组新生儿结局明显优于对照组(χ^2=7.289、8.261、5.273,P<0.05)。结论在临床中,针对妊娠糖尿病孕妇采取赋能式护理干预效果显著,能够有效控制血糖水平,改善新生儿结局;所以,具备在临床护理工作中采纳及应用的意义。

Objective To analyze the application value of empowered nursing intervention in gestational diabetes pregnant women as an example.Methods A total of 100 pregnant women with gestational diabetes who were treated in the hospital from January 2018 to February 2019 were taken as the research object.They were further divided into two different groups by random number grouping,with an average of 50 cases in each group;The control group was given conventional nursing methods,and the observation group was given empowering nursing intervention.After the end of nursing,the nursing effects of the two groups were analyzed and evaluated.Results 1.After the nursing,the fasting blood glucose in the observation group was(4.62±0.67)mmol/L,the 2 h postprandial blood glucose was(6.72±1.23)mmol/L,and the glycated hemoglobin was(6.53±1.30)%and the control group of(5.88±0.65)mmol/L,(8.78±1.32)mmol/L,and(7.29±1.30)%contrast were significantly lower(t=5.128,5.289,5.127,P<0.05).2.Among the 50 cases in the observation group,there were 2 cases of neonatal blood glucose disorders(4.00%),1 case of giant children(2.00%),and 0 cases of neonatal asphyxia(0.00%).Among the 50 cases in the control group,A total of 7 cases of neonatal blood glucose disorders(14.00%),a total of 6 cases of large children(12.00%),and a total of 3 cases of neonatal asphyxia(6.00%).According to the data,neonatal outcomes in the observation group were significantly better than those in the control group(χ^2=7.289,8.261,5.273,P<0.05).Conclusion In clinical practice,the use of empowering nursing intervention for pregnant women with gestational diabetes has significant effects,which can effectively control blood glucose levels and improve neonatal outcomes;indexing has significance for adoption and application in clinical nursing work.