产前门诊护理对妊娠期糖尿病患者结局的影响

Impact of Antenatal Outpatient Care on Patient Outcomes in Gestational Diabetes

目的探究产前门诊护理对妊娠糖尿病孕妇的影响。方法选取2021年1月—2022年5月于平原县第一人民医院产妇门诊接受产前保健且均完成分娩的86例妊娠糖尿病孕妇作为研究对象,以随机数表法分为对照组、观察组,每组43例。在产前门诊护理中,对照组实施常规护理,观察组实施综合护理。比较两组护理前后血糖水平、剖宫产发生率、不良妊娠结局发生率、护理依从性。结果护理后,观察组空腹血糖、餐后2 h血糖水平低于对照组,差异有统计学意义(P<0.05)。观察组剖宫产发生率为16.28%、不良妊娠结局发生率为6.98%,均低于对照组的37.21%、25.58%,差异有统计学意义(χ^(2)=4.807、5.460,P<0.05)。观察组护理依从率为95.35%,高于对照组的81.40%,差异有统计学意义(χ^(2)=4.074,P<0.05)。结论在妊娠糖尿病孕妇产前门诊护理中,实施综合护理干预,可改善血糖水平,降低剖宫产发生率及不良妊娠结局发生率,提升其护理依从性。

Objective To investigate the effect of antenatal outpatient care on pregnant women with gestational diabetes mellitus.Methods 86 pregnant women with diabetes who received prenatal care in the Maternity Clinic of the First People's Hospital of Pingyuan County from January 2021 to May 2022 and completed delivery were selected as the research objects.They were randomly divided into control group and observation group with 43 cases in each group.In prenatal outpatient care,the control group received routine care,while the observation group received comprehensive care.Compared the blood glucose levels,incidence of cesarean section,incidence of adverse pregnancy outcomes,and nursing compliance between the two groups before and after nursing.Results After nursing,the fasting blood glucose and 2-hour postprandial blood glucose levels in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The incidence of cesarean section in the observation group was 16.28%,and the incidence of adverse pregnancy outcomes was 6.98%,both lower than the control group's 37.21%and 25.58%,the difference was statistically significant(χ^(2)=4.807,5.460,P<0.05).The nursing compliance rate in the observation group was 95.35%,higher than 81.40%in the control group,the difference was statistically significant(χ^(2)=4.074,P<0.05).Conclusion The implementation of comprehensive nursing interventions in the antenatal outpatient care of pregnant women with gestational diabetes can improve their blood glucose levels,reduce the incidence of cesarean delivery and adverse pregnancy outcomes,and improve their nursing compliance.