GDM患者行连续护理对FPG、HbA1c的分析

Analysis of FPG and HbA1c in GDM Patients Undergoing Continuous Nursing

目的分析连续护理措施应用于妊娠糖尿病(GDM)中对血糖指标的影响。方法选择2020年1-10月该院收治的72例妊娠糖尿病患者为研究对象,以随机数字表法将其分为对照组和观察组,每组36例。对照组行常规护理模式,观察组则应用连续护理,对比两组患血糖指标、不良妊娠结局发生率、生活质量评分、自我管理水平及遵医行为评分。结果护理前,对照组、观察组患者血糖指标数值对比,差异无统计学意义(P>0.05);干预后,观察组患者血糖指标数值均低于对照组,差异有统计学意义(t=5.985、2.888、3.619,P<0.05);观察组患者各项生活质量评分均高于对照组,差异有统计学意义(t=4.261、4.801、5.662、6.491,P<0.05);观察组自我管理水平相关指标数值均高于对照组,差异有统计学意义(t=4.128、4.181、5.647、3.001、3.363、3.107,P<0.05);观察组产后遵医行为评分高于对照组,差异有统计学意义(t=4.759、3.641、3.715、5.102,P<0.05);和对照组进行比较,观察组不良妊娠结局发生概率较低,差异有统计学意义(P<0.05)。结论在妊娠糖尿病患者护理期间选择连续护理模式具有确切效果,可以降低不良妊娠结局的发生概率,对提升患者生活质量以及自我管理水平具有积极意义,有利于调整患者心理状态。

Objective To analyze the effect of applying continuous nursing measures to gestational diabetes(GDM)on blood glucose indicators.Methods The 72 patients with gestational diabetes admitted to the hospital from January to October 2020 were selected as the research objects,and they were evenly divided into the control group and the observation group by the random number table method,with 36 cases in each group.The control group used the conventional nursing mode,and the observation group used continuous nursing.The nursing effect,blood glucose index,the incidence of adverse pregnancy outcomes,the quality of life score,the level of self-management and compliance behavior score were compared of the two groups.Results Before nursing,there was no significant difference in blood glucose index between the control group and the observation group(P>0.05);after the intervention,the blood glucose index values of the observation group were lower than those of the control group,and the difference was statistically significant(t=5.985,2.888,3.619,P<0.05).The quality of life scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=4.261,4.801,5.662,6.491,P<0.05);the observation group’s self-management level related index values were higher than those of the control group.The difference was statistically significant(t=4.128,4.181,5.647,3.001,3.363,3.107,P<0.05).The observation group’s postpartum compliance behavior score was higher than that of the control group,and the difference was statistically significant(t=4.759,3.641,3.715,5.102,P<0.05);compared with the control group,the observation group had a lower incidence of adverse pregnancy outcomes.The difference was statistically significant(P<0.05).Conclusion Choosing the continuous nursing mode during the nursing period of gestational diabetes patients has definite effects,can reduce the probability of adverse pregnancy outcome,has positive significance for improving the quality of life and self-management of patients,and is beneficial to adjust the psychological state of patients.