GDM患者产前全程护理对妊娠结局、血糖控制情况的研究

Study on the Effect of Prenatal Care for Patients with GDM on Pregnancy Outcome and Blood Glucose Control

目的研究对比产前全程护理措施应用于妊娠糖尿病护理的妊娠结局及血糖控制情况。方法以该院2020年1-12月确诊为糖尿病的88例妊娠期女性作为研究主体,应用方便抽样法作为该文对照研究分组方式,将纳选对象均匀划分为对照组和观察组,每组44例,于护理期间分别落实普通护理模式及产前全程护理,对比评估护理效果。结果护理前,对照组、观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平对比,差异无统计学意义(P>0.05);护理后,观察组上述指标数值和对照组比较明显较低,差异有统计学意义(t=4.784、5.937、4.243,P<0.05);干预前,两组患者焦虑、抑郁等负性情绪评分对比,差异无统计学意义(P>0.05);护理后,相较于对照组,观察组焦虑、抑郁等负性情绪评分较低,差异有统计学意义(t=8.996、6.476,P<0.05);观察组患者各项护理满意度评分均高于对照组,差异有统计学意义(t=3.538、3.585、3.549、6.481,P<0.05);观察组不良妊娠发生概率低于对照组,差异有统计学意义(χ^(2)=5.436,P<0.05);相较于对照组,观察组生活质量评分较高,差异有统计学意义(P<0.05)。结论将产前全程护理干预措施应用于妊娠糖尿病护理期间具有确切效果,在有效控制血糖水平的同时可以改善患者妊娠结局,有利于调整患者心理状态,缓解其疼痛程度,患者对于此护理措施具有较高的认可度以及满意度,值得借鉴推广。

Objective To study and compare the pregnancy outcome and blood sugar control of antenatal care measures applied to gestational diabetes care.Methods Taking the 88 pregnant women diagnosed with diabetes in the hospital from January to December 2020 as the main body of the research,the convenience sampling method was used as the grouping method of the controlled study in this article,and the selected subjects were evenly divided into the control group and the observation group,44 cases in each group.During the nursing period,the normal nursing mode and the whole prenatal care were implemented respectively,and the nursing effect was compared and evaluated.Results Before nursing,there was no statistically significant difference in fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels between the control group and the observation group(P>0.05);after nursing,the values of the above indicators in the observation group were lower than those in the control group,and the difference was statistically significant(t=4.784,5.937,4.243,P<0.05);before the intervention,there was no statistically significant difference between the two groups of patients’anxiety,depression and other negative emotion scores(P>0.05).After nursing,compared with the control group,the observation group had lower negative emotion scores such as anxiety and depression,and the difference was statistically significant(t=8.996,6.476,P<0.05).The nursing satisfaction scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=3.538,3.585,3.549,6.481,P<0.05);the observation group had a lower probability of adverse pregnancy compared with the control group,the difference was statistically significant(χ^(2)=5.436,P<0.05);compared with the control group,the quality of life score of the observation group was higher,and the difference was statistically significant(P<0.05).Conclusion The application of antenatal care interventions during the care of gestational diabetes has a definite effect.It can effectively control the blood glucose level and improve the pregnancy outcome of the patient,which is beneficial to adjust the patient’s psychological state and relieve the pain.Patients have a high degree of recognition and satisfaction with this nursing measure,which is worthy of reference and promotion.