“包床到护”护理对妊娠合并糖尿病患者胎儿窘迫发生率、产褥感染发生率及相关知识掌握情况的影响

The effect of"bedding to nursing"on the incidence of fetal distress,puerperal infection and related knowledge of gestational diabetes mellitus patients

目的探讨"包床到护"护理对妊娠合并糖尿病患者胎儿窘迫发生率、产褥感染发生率及相关知识掌握情况的影响。方法选取2017年2月至2018年2月于南京医科大学附属无锡市人民医院治疗的妊娠期糖尿病(GDM)患者150例为研究对象进行前瞻性研究,按随机数字表法分为观察组和对照组,各75例。对照组患者入院期间采取常规护理模式,观察组患者采用"包床到护"护理模式。两组患者的护理时间均为2 w,比较两组患者的血糖水平、孕妇妊娠结局和胎儿情况、两组患者相关知识掌握情况及护理满意度之间的差异。结果护理治疗2 w后,两组患者的空腹血糖水平、餐后2 h血糖及糖化血红蛋白均有明显降低,且观察组患者的空腹血糖水平、餐后2 h血糖及糖化血红蛋白水平均明显低于对照组;观察组患者的顺产率明显高于对照组,先兆流产、妊娠高血压、产后出血、产褥期感染情况明显低于对照组,胎儿早产、死亡及宫内窘迫综合征均明显低于对照组;护理结束后,观察组患者的饮食注意、产前检查目的性、血糖自我监测及价值、运动疗法及预产期个人卫生等知晓情况明显优于对照组;观察组患者的护理满意度(97.33%)明显高于对照组(87.67%),差异均有统计学意义(均P<0.05)。结论"包床到护"的护理模式明显降低了患者的血糖水平,提升了患者相关知识知晓度,降低了产妇产褥期感染风险,降低了胎儿宫内窘迫发生率。

Objective To study the effect of"bedding to nursing"on the incidence of fetal distress,puerperal infection and related knowledge of gestational diabetes mellitus patients.Methods A prospective study was conducted on 150 patients with gestational diabetes mellitus(GDM)treated in this hospital from February 2017 to February 2018.They were divided into observation group and control group according to random number table method,75 cases in each group.Patients in the control group were given routine nursing measures during hospitalization,while patients in the observation group were given"bedding to nursing"mode.The nursing time of the two groups was 2 weeks.The blood glucose level,pregnancy outcome and fetal status,knowledge mastery and nursing satisfaction of the two groups were observed.Results After 2 weeks of nursing treatment,fasting blood glucose,2 hours postprandial blood glucose and glycosylated hemoglobin were significantly lower in both groups,and the fasting blood glucose level,2 hours postprandial blood glucose and glycosylated hemoglobin level in the observation group were significantly lower than those in the control group.The birth rate in observation group was significantly higher than that in control group,the incidence of threatened abortion,gestational hypertension,postpartum hemorrhage and puerperal infection was significantly lower than that of the control group,and the incidence of premature delivery,death and intrauterine distress syndrome was significantly lower than that of the control group.After the end of nursing,the observation group was significantly better than the control group in terms of diet attention,purpose of prenatal examination,self-monitoring and value of blood glucose,exercise therapy and personal hygiene on the expected date of birth,and the satisfaction of nursing care in the observation group(97.33%)was significantly higher than that in the control group(87.67%),the differences were statistically significant(P<0.05).Conclusions"Bedding to nursing"nursing mode can significantly reduce blood glucose levels,improve patients'knowledge,reduce the risk of puerperal infection and the incidence of fetal distress.