综合护理干预对妊娠期糖尿病新生儿低血糖的影响

Effect of Comprehensive Nursing Intervention on Neonatal Hypoglycemia with Gestational Diabetes Mellitus

目的探讨综合护理干预对妊娠期糖尿病新生儿低血糖发生率的影响。方法方便选取2020年10—12月100例妊娠期糖尿病新生儿为对照组(常规护理),2021年1—3月100例妊娠期糖尿病新生儿为观察组(对症综合护理),观察出生后,出生2、4、6 h的血糖变化,比较两组新生儿低血糖发生率及产妇的护理满意度。结果观察组新生儿出生时、出生2、4、6 h血糖水平均高于对照组新生儿,差异有统计学意义(P<0.05)。观察组新生儿发生低血糖率及转新生儿科率12.00%、6.00%,均低于对照组新生儿的23.00%、18.00%,差异有统计学意义(χ^(2)=4.190、6.818,P<0.05)。观察组中5例产妇对护理服务不满意,满意度为95.00%,对照组中18例产妇对护理服务不满意,满意度为82.00%,差异有统计学意义(χ^(2)=8.303,P=0.004)。结论妊娠期糖尿病新生儿容易出现反复低血糖,因此应确保孕妇产时血糖维持正常水平及在出生后需要对这部分新生儿进行密切监测血糖并及时给予合理喂养及口服葡萄糖水等综合护理干预,是降低新生儿低血糖发生率的有效手段。

Objective To investigate the effect of comprehensive nursing intervention on the incidence of hypoglycemia in neonates with gestational diabetes mellitus.Methods A total of 100 neonates with gestational diabetes mellitus from October to December 2020 were conveniently selected as the control group(routine care).From January to March 2021,100 newborns with gestational diabetes mellitus were selected as the observation group(symptomatic comprehensive care).The blood glucose changes after birth,2 h,4 h,and 6 h after birth were observed,the incidence of neonatal hypoglycemia and the maternal nursing statistfaction in the two groups was compared.Results The blood glucose levels of the neonates in the observation group at birth,2 h,4 h,and 6 h were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of hypoglycemia and transfer to neonatology in the observation group were 12.00%and 6.00%,which were both lower than the 23.00%and 18.00%in the control group,the differences were statistically significant(χ^(2)=4.190,6.818,P<0.05).Five puerperae in the observation group were dissatisfied with the nursing service,with a satisfaction rate of 95.00%,while 18 puerperae in the control group were dissatisfied with the nursing service,with a satisfaction rate of 82.00%,the differences were statistically significant(χ^(2)=8.303,P=0.004).Conclusion Neonates with gestational diabetes are prone to recurrent hypoglycemia.Therefore,it is necessary to ensure that pregnant women maintain normal blood sugar levels during delivery,and after birth,it is necessary to closely monitor the blood sugar of these neonates,and timely give comprehensive nursing interventions such as reasonable feeding and oral glucose water,which are effective means to reduce the incidence of neonatal hypoglycemia.