“一对一”全程助产对GDM产妇分娩质量的干预效果

Intervention effect of delivery quality of"one to one"whole-course midwifery nursing for pregnant women with gestational diabetes mellitus

目的:评估“一对一”全程助产护理干预对妊娠期糖尿病(GDM)产妇血糖控制和分娩质量效果的影响。方法:选取2020年6月-2022年11月本院收治的GDM产妇120例,根据不同的护理方法均分为观察组(60例)和对照组(60例)。对照组采用传统的常规助产护理方式,观察组则在此基础上提供“一对一”全程助产护理干预。对比分析两组产妇血糖控制指标及分娩质量指标,产后问卷调查护理满意度。结果:两组首次检查糖化血红蛋白(HbA1c)、空腹血糖(FPG)和餐后2h血糖(2hPG)无差异(P>0.05),产后观察组HbA1c(5.91±1.03)%、FPG(5.57±0.91mmol/L)、2hPG(6.38±1.19mmol/L)均低于对照组(7.24%±1.45%、6.19±1.14mmol/L、8.17±1.60mmol/L),总产程时间(498.2±52.4min)、产后出血量(134.3±20.8ml)和视觉模拟评分(6.7±0.7分)均低于对照组(605.9±78.7min、169.1±36.0ml、8.2±1.4分),自然分娩率(88.3%)高于对照组(66.7%),新生儿并发症发生率(11.7%)低于对照组(31.7%),护理满意度(91.7%)高于对照组(76.7%)(均P<0.05)。结论:全程助产护理干预可有效控制GDM产妇血糖变化,减轻产妇机体疼痛感,提升分娩质量和护理满意度。

Objective:To evaluate the effects of of"one to one"whole-course midwifery nursing for pregnant women with gestational diabetes mellitus(GDM)on their delivery quality.Methods:120pregnant women with GDM admitted to hospital were selected as the study subjects from June 2020to November 2022.According to the different nursing methods,these women were randomly divided into study group(60cases)and control group(60cases).The women in the control group had received traditional routine midwifery nursing,while the women in the research group had received"one-to-one"whole-course midwifery nursing combined with traditional routine midwifery nursing.The values of the blood glucose control indicators and delivery quality indicators of the women were analyzed and compared between the two groups.The postpartum nursing satisfaction of the women was investigated by questionnaire.Results:There were no significant differences in the levels of glycosylated hemoglobin(HbA1c),fasting plasma glucose(FPG)and 2hpostprandial plasma glucose(2hPG)of the women at the postpartum first visit between the two groups(P>0.05).The levels of postpartum HbA1c(5.91±1.03%),FPG(5.57±0.91mmol/L),2hPG(6.38±1.19mmol/L)of the women in the study group were significantly lower than those(7.24%±1.45%,6.19±1.14mmol/L and 8.17±1.60mmol/L)of the women in the control group.The total labor time(498.2±52.4min),the postpartum hemorrhage(134.3±20.8ml)and the visual analogue scale score(6.7±0.7points)of the women in the study group were also significantly lower than those(605.9±78.7min,169.1±36.0ml and 8.2±1.4points)of the women in the control group.The natural delivery rate(88.3%)and the nursing satisfaction(91.7%)of the women in the study group were significantly higher than those(66.7%and 76.7%)of the women in the control group,and the incidence of neonatal complications(11.7%)of the women in the study group was significantly lower than that(31.7%)of the women in the control group(all P<0.05).Conclusion:The"one to one"whole-course midwifery nursing for the pregnant women with GDM can effectively control their blood glucose changes,reduce their body pain,and improve their delivery quality and nursing satisfaction.