产前全程护理干预对妊娠期糖尿病(GDM)孕妇妊娠结局的影响

The Effect of Full-course Prenatal Nursing Intervention on Pregnancy Outcome of Pregnant Women with Gestational Diabetes Mellitus(GDM)

目的评价产前全程护理干预对妊娠糖尿病(GDM)孕妇预后的影响价值。方法选择该院2016年12月—2018年12月产科GDM孕妇,总计110例。进行随机数字表法分组,对照组55例GDM孕妇接受常规护理,观察组55例GDM孕妇加行产前全程护理干预,比较两组GDM孕妇血糖水平变化情况以及孕妇妊娠分娩方式、母婴结局情况。结果干预后观察组GDM孕妇空腹以及餐后2 h血糖水平控制效果明显优于对照组,自然分娩率高于对照组,母婴结局优于对照组,差异有统计学意义(P<0.05)。结论给予GDM孕妇产前全程护理干预利于孕妇血糖控制,可以提高母婴安全性以及自然分娩率,具有推行价值。

Objective To evaluate the value of full prenatal care intervention on the prognosis of gestational diabetes(GDM) pregnant women.Methods A total of 110 cases of pregnant women with GDM in our hospital from December 2016 to December 2018 were selected.Grouping by random number table,55 GDM pregnant women in the control group received routine care,and 55 GDM pregnant women in the observation group received full prenatal care intervention.The changes in blood glucose levels of the two groups of GDM pregnant women and the pregnancy and delivery methods and maternal and infant outcomes were compared.Results After the intervention,the effect of GDM pregnant women in the observation group on fasting and 2 h postprandial blood glucose level control was significantly better than that of the control group.The natural delivery rate was higher than that of the control group.The outcome of mother and infant was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Prenatal whole-course nursing intervention for GDM pregnant women is beneficial to blood glucose control of pregnant women,and can improve the safety of mother and infant as well as the rate of natural delivery,which is of practical value.