强化护理干预对妊娠期糖尿病孕产妇妊娠结局的影响分析

Effect of Intensive Nursing Intervention on Pregnancy Outcome of Pregnant Women with Gestational Diabetes Mellitus

目的分析妊娠期糖尿病接受强化护理干预对孕产妇血糖水平的控制以及妊娠结局的影响。方法方便选取2021年6月—2022年6月就诊于龙岩人民医院的160例妊娠期糖尿病孕产妇,以随机数表法将其分为两组,每组80例。对照组患者给予常规护理干预,观察组患者给予强化护理干预。对比产妇血糖控制效果、分娩方式、妊娠期糖尿病相关指标(妊娠期体质量增长、羊水指数、产后体质指数)情况以及新生儿结局情况。结果干预两个月,观察组患者的糖化血红蛋白、餐后2 h血糖、空腹血糖低于对照组,差异有统计学意义(P<0.05);观察组剖宫产率(21.25%)、助产分娩率(16.25%)显著低于对照组剖宫产率(41.25%)、助产分娩率(31.25%),差异有统计学意义(χ^(2)=7.447、4.970,P<0.05);观察组阴道分娩率高于对照组,差异有统计学意义(P<0.05);观察组产妇妊娠期糖尿病相关指标(妊娠期体质量增长、羊水指数、产后体质指数)低于对照组,差异有统计学意义(P<0.05);观察组新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)。结论妊娠期糖尿病孕产妇接受强化护理干预后产妇血糖水平得到有效调控,产妇妊娠期糖尿病相关指标更佳,妊娠结局明显改善,剖宫产率显著降低,临床应用价值显著。

Objective To analyze the effect of intensive nursing intervention in gestational diabetes on the control of blood glucose level and pregnancy outcome.Methods 160 pregnant and lying in women with gestational diabetes who visited Longyan People's Hospital from June 2021 to June 2022 were conveniently selected,and were divided into two groups with eighty cases in each group by random number table method.The control group was given routine nursing intervention,and the observation group was given intensive nursing intervention.The results of blood glucose control,delivery mode,gestational diabetes related indicators(gestational body mass gain,amniotic fluid index,postpartum body mass index)and newborns outcome were compared.Results After two months of intervention,the HbA1c,2 h postprandial blood glucose and fasting blood glucose of the two groups were lower than those of the observation group,and the differences were statistically significant(P<0.05).The cesarean section rate(21.25%)and midwifery delivery rate(16.25%)in the observation group were significantly lower than those in the control group of 41.25% and 31.25%,and the differences were statistically significant(χ^(2)=7.447,4.970,P<0.05).The vaginal delivery rate was higher in the observation group than that in the control group,and the difference was statistically significant(P<0.05).The values of gestational diabetes related indicators(gestational body mass gain,amniotic fluid index,postpartum body mass index)were lower in the observation group than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse of newborns outcomes was lower in the observation group,and the difference was statistically significant(P<0.05).Conclusion After receiving intensive nursing intervention,the blood glucose level of pregnant women with gestational diabetes can be effectively regulated,the related indicators of gestational diabetes can be better,the pregnancy outcome can be significantly improved,the rate of cesarean section can be significantly reduced,and the clinical application value is significant.