针对性护理干预联合家庭运动干预在妊娠期糖尿病患者中的应用及对妊娠结局的影响

Application of Targeted Nursing Intervention Combined with Family Exercise Intervention in Patients with Gesta⁃tional Diabetes Mellitus and its Influence on Pregnancy Outcome

目的:探讨针对性护理干预联合家庭运动干预在妊娠期糖尿病患者中的应用及对妊娠结局的影响。方法:收集2019年2月—2020年2月样本医院收治的98例妊娠期糖尿病患者的相关资料。按照不同护理干预方案分为实验组(51例,针对性护理干预+家庭运动干预)与对照组(47例,针对性护理干预)。比较两组患者护理前后空腹血糖与餐后2 h血糖、妊娠结局及各项并发症发生情况、自我效能水平情况。结果:护理后,两组患者空腹血糖及餐后2 h血糖均有所降低,且实验组血糖情况优于对照组,差异有统计学意义(t=2.795、3.378,P<0.05);实验组娠高症、胎膜早破、宫内窘迫、早产、剖宫产、巨大儿发生率明显低于对照组,差异有统计学意义(χ^(2)=4.581、4.006、4.305、5.692、4.581、4.305,P<0.05);两组患者饮食、运动、监测、药物、急诊处理评分较护理前明显升高,且实验组自我效能情况优于对照组,差异有统计学意义(t=2.014、3.448、4.556、2.712、2.740,P<0.05)。结论:针对性护理干预联合家庭运动干预应用于妊娠期糖尿病患者中,可明显改善患者并发症发生情况,对于控制血糖、改善妊娠结局、保障母婴健康均具有重要意义,值得临床推广应用。

Objective:To explore the clinical value of targeted nursing combined with family exercise intervention in patients with gestational diabetes mellitus and its effect on pregnancy outcome.Methods:The relevant data of 98 patients with gestational diabetes mellitus admitted to the sample hospital from February 2019 to February 2020 were collected.According to different nursing intervention programs,they were divided into experimental group(51 cases,targeted nursing intervention+home exercise intervention)and control group(47 cases,targeted nursing intervention).The fasting blood glucose and 2 h postprandial blood glucose,pregnancy outcomes,occurrence of various complications,and self-efficacy levels were compared between the two groups of patients before and after nursing.Results:After nursing,the fasting blood glucose and 2 h postprandial blood glucose of the two groups were decreased,and the blood glucose of the experimental group was better than that of the control group,and the difference was statistically significant(t=2.795,3.378,P<0.05).The incidences of high pregnancy disease,premature rupture of membranes,intrauterine distress,premature birth,cesarean section,and macrosomia in the experimental group were significantly lower than those in the control group,and the differences were statistically significant(χ^(2)=4.581,4.006,4.305,5.692,4.581,4.305,P<0.05).The scores of diet,exercise,monitoring,drugs,and emergency treatment of the two groups of patients were significantly higher than those before nursing,and the self-efficacy of the experimental group was better than that of the control group,and the difference was statistically significant(t=2.014,3.448,4.556,2.712,2.740,P<0.05).Conclusion:The use of targeted nursing intervention combined with family exercise intervention in gestational diabetes patients can effectively reduce the incidence of complications,help to control the patients’blood sugar,improve the outcome of pregnancy,and ensure maternal and infant health,which is worthy of clinical promotion.