综合护理干预对妊娠期糖尿病患者妊娠结局的影响

The Effect of Comprehensive Nursing Intervention on Pregnancy Outcome of Patients with Gestational Diabetes

目的探讨护理干预对妊娠期糖尿病患者妊娠结局的影响。方法选取该院2018年9月—2020年8月妊娠期糖尿病患者70例,按照随机数表法将其分为两组,分别为研究组(35例)和对照组(35例)。对照组予以常规护理,研究组实施综合护理,比较两组妊娠期糖尿病患者妊娠结局及对护理的满意度;比较两组妊娠期糖尿病患者的负性情绪改善情况。结果研究组患者护理干预后的空腹血糖(6.77±1.22)mmol/L、餐后2 h血糖(11.42±0.76)mmol/L及糖化血红蛋白水平(5.32±1.03)%均低于对照组(8.15±1.16)mmol/L、(12.31±0.53)mmol/L、(6.58±1.12)%,差异有统计学意义(t=4.850、5.683、4.899,P<0.05);研究组患者不良妊娠结局发生率22.86%,低于对照组60.00%,差异有统计学意义(χ^(2)=9.950,P<0.05);研究组患者护理满意度97.14%高于对照组77.14%,差异有统计学意义(χ^(2)=4.590,P<0.05);研究组患者干预后的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分为(9.64±2.13)分、(10.32±3.51)分,均低于对照组(11.57±2.54)分、(14.25±3.56)分,差异有统计学意义(t=3.444、4.651,P<0.05)。结论将综合护理干预运用于妊娠期糖尿病患者,在降低患者血糖指标水平的同时,不仅能够有效改善患者的妊娠结局,而且能改善患者的不良情绪,可提高患者对护理的满意度。

Objective To explore the effect of nursing intervention on pregnancy outcome in patients with gestational diabetes.Methods Selected 70 patients with gestational diabetes in the hospital from September 2018 to August 2020,and divided them into two groups according to the random number table method,namely the study group(35 cases)and the control group(35 cases),control group was given routine nursing care,and the study group was given comprehensive nursing care.The two groups of patients with gestational diabetes were compared with their pregnancy outcomes and their satisfaction with nursing;the two groups were compared with the improvement of negative emotions of patients with gestational diabetes.Results The fasting blood glucose(6.77±1.22)mmol/L,2 h postprandial blood glucose(11.42±0.76)mmol/L and glycosylated hemoglobin level(5.32±1.03)%of the study group after nursing intervention were all lower than those of the control group(8.15±1.16)mmol/L,(12.31±0.53)mmol/L,(6.58±1.12)%,the difference were statistically significant(t=4.850,5.683,4.899,P<0.05);the incidence of adverse pregnancy outcembes in the study group was 22.86%,which was lower than 60.00%in the control group,and the difference was statistically significant(χ^(2)=9.950,P<0.05).The satisfaction of the study group of patients with care was 97.14%,which was higher than that of the control group 77.14%,and the difference was statistically significant(χ^(2)=4.590,P<0.05).The HAMA and HAMD scores(9.64±2.13)points,(10.32±3.51)points of the study group after intervention,which were all lower than the control group(11.57±2.54)points,(14.25±3.56)points,and the difference were statistically significant(t=3.444,4.651,P<0.05).Conclusion Applying comprehensive nursing intervention to patients with gestational diabetes mellitus can not only effectively improve the patient’s pregnancy outcome,but also improve the patient’s unhealthy mood while reducing the patient’s blood glucose level,which can increase the patient’s satisfaction with nursing.