针对性护理干预对妊娠期糖尿病孕妇及围生儿结局的影响

Effect of targeted nursing intervention on maternal and perinatal outcomes of gestational diabetes mellitus

目的探讨针对性护理干预对妊娠期糖尿病孕妇及围生儿结局的影响。方法选取129例妊娠期糖尿病孕妇,基于单双数法分组原则将孕妇分为对照组(64例)与观察组(65例)。对照组实施常规护理,观察组实施针对性护理干预。比较两组孕妇不良结局发生率、围生儿不良结局发生率及孕妇血糖水平。结果观察组孕妇不良结局发生率6.15%低于对照组的21.88%,差异有统计学意义(P<0.05)。观察组围生儿不良结局发生率低于对照组,差异有统计学意义(P<0.05)。护理前,两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平比较,差异无统计学意义(P>0.05);分娩前,两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均明显低于护理前,且观察组明显低于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病实施针对性护理干预,可改善母婴结局与孕妇血糖水平,具有显著应用价值。

Objective To explore the effect of targeted nursing intervention on the outcome of pregnant women with gestational diabetes mellitus and their perinatal children.Methods 129 pregnant women with gestational diabetes mellitus were selected and divided into control group(64 cases)and observation group(65 cases)based on the single-even number method.The control group received routine nursing,and the observation group received targeted nursing intervention.The incidence of adverse outcomes in pregnant women,the incidence of adverse outcomes in perinatal infants and the level of blood sugar in pregnant women were compared between the two groups.Results The incidence of adverse outcome in the observation group was 6.15% lower than that in the control group(21.88%),and the difference was statistically signifi cant(P<0.05).The incidence of perinatal adverse outcomes in the observation group was lower than that in the control group,and the difference was statistically signifi cant(P<0.05).Before nursing,there were no significant differences in fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels between the two groups(P>0.05).Before delivery,fasting blood glucose,2 h postmeal blood glucose and glycosylated hemoglobin levels in 2 groups were signifi cantly lower than before care,and observation group was signifi cantly lower than control group,the difference was statistically significant(P<0.05).Conclusion The implementation of targeted nursing intervention in gestational diabetes can improve maternal and infant outcomes and maternal blood sugar level,which has signifi cant application value.