预见性护理对糖尿病产妇围生期的临床护理

Predictive Nursing for the Clinical Nursing of Diabetic Women in the Perinatal Period

目的预见性护理对糖尿病产妇围生期的临床护理。方法该次研究方便选取该院2016年3月—2018年5月收治围生期糖尿病产妇220例,按照电脑随机法将其分为了对照组和实验组。实验组产妇110例,对照组产妇110例,分析差异性的干预后,实验组、对照组患者的护理依从性、患者的不良情绪变化、产妇围生期并发症以及新生儿并发症发生情况。结果实验组患者不依从2例(1.82%),综合依从率108例(98.18%);对照组患者不依从15例(13.64%),综合依从95例(86.36%),差异有统计学意义(χ^(2)=10.774,P<0.05);对比实验组患者的并发症发生情况,其存在羊水过多、产后大出血、产褥其感染等并发症,并发症发生率为6.36%,对照组并发症发生率为14.54%,差异有统计学意义(χ^(2)=4.573,P<0.05);对比围生期产妇分娩后,胎儿健康表现,其中实验组新生儿并发症发生为6例(5.45%),对照组并发症发生为16例(14.55%),差异有统计学意义(χ^(2)=5.051,P<0.05)。结论采用预先性护理干预措施,可以提升糖尿病产妇围生期护理质量,减少产妇不良情绪,提升其护理满意率,减少产妇、胎儿的并发症发生率。

Objective Predictive nursing for the clinical nursing of diabetic women in the perinatal period.Methods In this study,220 cases perinatal diabetic women were conveniently selected admitted to the hospital from March 2016 to May 2018,and according to the computerized method divided into control group and experimental group.There were 110 parturients in the experimental group and 110 parturients in the control group.After analyzing the differences in intervention,the nursing compliance of patients in the experimental group and the control group,the patient's adverse mood changes,perinatal complications and neonatal complications occurred in the experimental group and the control group.Results The study showed that 2 patients in the experimental group did not comply(1.82%),and the comprehensive compliance rate was 108 cases(98.18%);15 patients in the control group did not comply(13.64%),and 95 patients(86.36%)in the control group did not comply.The difference was statistically significant(χ^(2)=10.774,P<0.05);the complication was compared,and there were complications such as polyhydramnios,postpartum hemorrhage,infection during childbirth,etc.The complication rate of the experimental group was 6.36%,the complication rate in the control group was 14.54%,the difference was statistically significant(χ^(2)=3.933,P<0.05);comparing the fetal health performance after delivery in the perinatal period,the complication rate of the experimental group newborns was 6 cases(5.45%),and occurred in 16 cases(14.55%)in the control group,the difference was statistically significant(χ^(2)=5.051,P<0.05).Conclusion The use of advance nursing intervention measures can improve the quality of perinatal care of diabetic women,reduce their unhealthy emotions,improve their nursing satisfaction rate,and reduce the incidence of maternal and fetal complications.