个性化营养护理对妊娠期糖尿病并发高血压孕妇的护理价值分析

Nursing Value of Personalized Nutrition Nursing for Pregnant Women with Gestational Diabetes Complicated with Hypertension

目的:分析个性化营养护理对妊娠期糖尿病并发高血压孕妇的护理价值。方法:选取2022年1—12月山东省临清市人民医院收治的妊娠期糖尿病并发高血压孕妇142例为观察对象,根据随机数字表法分为对照组和观察组,各71例。对照组给予传统护理,观察组在对照组基础上给予个性化营养护理。比较两组不良妊娠结局情况、血压及血糖指标、临床指标、护理情况、护理满意度。结果:观察组不良妊娠结局总发生率低于对照组,差异有统计学意义(P=0.012)。观察组舒张压、收缩压、空腹血糖、餐后2 h血糖水平低于对照组,差异有统计学意义(P<0.05)。观察组新生儿Apgar评分、营养摄入评分均高于对照组,产后出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。观察组护理质量、护理依从性、生活质量评分均高于对照组,汉密尔顿抑郁量表评分低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P=0.017)。结论:妊娠期糖尿病并发高血压孕妇采取个性化营养护理的干预效果显著,能够提高患者的妊娠安全性,改善血压、血糖、营养摄入水平,提升护理质量及满意度,缩短住院时间,减少产后出血量,改善新生儿Apgar评分。

Objective:To analyze the nursing value of personalized nutrition nursing for pregnant women with gestational diabetes complicated with hypertension.Methods:A total of one hundred and forty-two pregnant women with gestational diabetes complicated with hypertension treated in Linqing People's Hospital from January 2022 to December 2022 were selected as the observation objects,and were divided into control group and observation group according to random number table method,with seventy-one cases in each group.The control group was given traditional nursing,and the observation group was given personalized nutritional nursing based on the control group.Adverse pregnancy outcomes,blood pressure and blood glucose indexes,clinical indexes,nursing status and nursing satisfaction were compared between the two groups.Results:The incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.012).The diastolic blood pressure,systolic blood pressure,fasting blood glucose and 2 h postprandial blood glucose levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The Apgar score and nutrient intake score of neonates in the observation group were higher than those in the control group,the postpartum blood loss was less than that in the control group,and the length of hospitalization was shorter,with statistical significance(P<0.05).The scores of nursing quality,nursing compliance and quality of life in the observation group were higher than those in the control group,and the score of Hamilton Depression Scale was lower than that in the control group,with statistical significance(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P=0.017).Conclusion:The intervention effect of personalized nutrition nursing for pregnant women with gestational diabetes complicated with hypertension is significant,which can improve the safety of pregnancy,improve the level of blood pressure,blood glucose and nutrition intake,improve the quality of care and satisfaction,shorten the length of hospital stay,reduce the amount of postpartum bleeding,and improve the Apgar score of newborns.