护理干预对妊娠期糖尿病患者血糖控制及妊娠结局的影响

Effects of Nursing Intervention on Blood Glucose Control and Pregnancy Outcomes in Patients with Gestational Diabetes Mellitus

目的:分析护理干预对妊娠期糖尿病患者血糖控制及妊娠结局的影响。方法:选取2018年2月-2020年2月临沂市平邑县妇幼保健院收治的96例妊娠期糖尿病患者作为研究对象,按照随机数字法将其分为对照组和试验组,各48例。对照组患者实施常规护理模式,试验组患者实施护理干预模式,比较两组患者护理后血糖情况、妊娠结局及护理满意度。结果:护理前,两组FBG、2 hPG及HbA1c比较,差异无统计学意义(P>0.05);护理后,试验组FBG、2 hPG及HbA1c均低于对照组,差异有统计学意义(P<0.05)。试验组自然分娩率高于对照组,产后并发症发生率和新生儿并发症发生率均低于对照组,差异有统计学意义(P<0.05)。试验组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:护理干预可有效改善妊娠期糖尿病患者的血糖水平,提高妊娠安全性和护理满意度,建议应用并予以推广。

Objective: To analyze the effect of nursing intervention on blood glucose control and pregnancy outcome in patients with gestational diabetes mellitus. Methods: A total of 96 patients with gestational diabetes mellitus admitted to the Pingyi County Maternal and Child Health Hospital from February 2018 to February 2020 were selected as the research subjects. According to the random number method, they were divided into the control group and the experimental group, with 48 cases in each group. The patients in the control group were given the routine nursing mode, and the patients in the experimental group were given the nursing intervention mode. Post-nursing blood glucose, pregnancy outcomes and nursing satisfaction were compared between the two groups. Results: Before nursing, there was no significant difference in FBG, 2 hPG and HbA1 cbetween the two groups(P>0.05).After nursing, FBG, 2 hPG and HbA1 cin the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). The rate of spontaneous childbirth in the experimental group was higher than that in the control group, and the incidence of postpartum complications and neonatal complications were lower than those in the control group, and the differences were statistically significant(P<0.05). The nursing satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion: Nursing intervention can effectively improve the blood glucose level of patients with gestational diabetes mellitus, improve pregnancy safety and nursing satisfaction, and it is recommended to be applied and promoted.