持续性护理干预对妊娠期糖尿病患者的应用效果

An Observation of Continuous Nursing Interventions in Gestational Diabetes Mellitus Patients

目的探讨对妊娠期糖尿病(GDM)患者实施持续性护理干预的临床效果。方法选取中山市板芙医院收治的GDM患者100例为研究对象,研究开展时间在2017年5月至2020年5月,按照就诊时间的先后顺序将100例患者分为对照组和研究组,其中2017年5月至2018年12月就诊的50例患者为对照组,采用常规护理措施;2019年1月至2020年5月就诊的50例患者为研究组,实施持续性护理干预,对比两组患者的临床护理效果。结果研究组护理后空腹血糖、餐后2h血糖和糖化血红蛋白水平均低于对照组,组间对比差异有统计学意义(P<0.05)。研究组护理后自我行为管理五项评分均高于对照组,组间对比差异有统计学意义(P<0.05)。研究组患者围产期并发症和围产儿并发症的发生率6%和8%均低于对照组22%和24%,差异有统计学意义(P<0.05)。结论对GDM患者实施连续性护理干预可以有效稳定患者的血糖水平,提高其自我行为管理能力,从而减少并发症的出现,保障母婴安全。

Objective To discuss the effects of continuous nursing interventions in gestational diabetes mellitus(GDM)patients.Methods 100 GDM patients treated from May 2017 to May 2020 in Zhongshan Banfu Hospital were chosen as research subjects.According to the different registration time,50 cases taking the routine care(from May 2017 to December 2018)were included in the control group;50 cases taking the continuous nursing interventions(from January 2019 to May 2020)were included in the research group.Nursing effects were probed.Results The levels of fasting blood glucose,2h postprandial blood glucose and glycosylated hemoglobin in the research group after nursing were lower than those in the control group,with significant difference between the two groups(P<0.05).The five scores of self-care behaviors after nursing in the research group were higher than those in the control group,and the difference between the groups was statistically significant(P<0.05).The perinatal complications and neonatal complications in the research group(6%,8%)were significantly lower than those in the control group(22%,24%),P<0.05.Conclusion The continuous nursing interventions can stabilize the patient’s blood glucose levels,reduce the complications,and improve the self-care behaviors,and maternal and neonatal safety.