产后综合护理在妊娠糖尿病患者护理中的应用效果

Application Effect of Postpartum Comprehensive Nursing Care in Patients with Gestational Diabetes Mellitus

目的:探讨产后综合护理在妊娠糖尿病患者护理中的应用效果。方法:选取2022年6月—2023年6月在金乡县人民医院分娩的妊娠糖尿病患者80例作为研究对象,以随机数字表法分为对照组与研究组,各40例。对照组给予产后常规护理,研究组实施产后综合护理。比较两组哺乳情况、血糖水平、心理状态。结果:研究组产后初次泌乳时间早于对照组,泌乳量多于对照组,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、糖化血红蛋白水平比较,差异无统计学意义(P>0.05);护理后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组产褥期并发症总发生率低于对照组,差异有统计学意义(P=0.042)。结论:产后综合护理在妊娠糖尿病患者护理中的应用效果较好,能够促进母乳喂养,控制患者血糖水平,改善其心理状态。

Objective:To explore the application effect of postpartum comprehensive nursing care in the nursing care for patients with gestational diabetes mellitus.Methods:A total of 80 patients with gestational diabetes mellitus who gave birth in Jinxiang People's Hospital from June 2022 to June 2023 were selected as the study subjects.They were divided into control group and study group according to random number table method,with 40 cases in each group.The control group was given routine nursing care after delivery,while the study group was given comprehensive nursing care after delivery.The breastfeeding,blood glucose level and mental state were compared between the two groups.Results:The onset time of lactation in the study group was earlier than that in the control group,the amount of lactation in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before nursing care,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).After nursing care,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the two groups were lower than those before nursing care,and the levels in the study group were lower than those in the control group,with a statistically significant difference(P<0.05).Before nursing care,there was no significant difference in the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)between the two groups(P>0.05).After nursing care,the SAS and SDS scores in the two groups were lower than those before nursing care,and the scores in the study group were lower than those in the control group,with a statistically significant difference(P<0.05).The total incidence of puerperal complications in the study group was lower than that in the control group,and the difference was statistically significant(P=0.042).Conclusion:The application of postpartum comprehensive nursing care has good effects in patients with gestational diabetes mellitus,which can promote the breastfeeding,control the blood glucose level and improve the mental state of patients.