远程护理联合个体化护理对妊娠期糖尿病患者治疗效果及妊娠结局的影响

Effect of Remote Care Combined with Individualized Care on the Treatment Effect and Pregnancy Outcome of Patients with Gestational Diabetes Mellitus

目的:探讨远程护理联合个体化护理对妊娠期糖尿病(GDM)患者治疗效果及妊娠结局的影响。方法:选取2021年3月—2022年3月济源市人民医院收治的80例GDM患者作为研究对象。将2021年3—9月收治的40例患者作为对照组,将2021年10月—2022年3月收治的40例患者作为实验组。对照组接受常规护理,实验组在常规护理的基础上增加远程护理和个体化护理。比较两组患者治疗依从性、血糖水平、胎儿发育情况、分娩方式、并发症及新生儿情况等。结果:治疗后,实验组患者治疗依从性评分高于对照组,差异有统计学意义(t=4.32,P<0.05);实验组患者血糖情况优于对照组,差异有统计学意义(t=2.51、2.86、2.11、2.24、2.57,P<0.05)。孕32周和36周时,实验组患者的胎儿发育情况优于对照组,差异有统计学意义(t=2.51、2.26、2.86、3.01、2.21、4.21、3.81、3.91、3.21、2.31,P<0.05)。实验组患者的自然分娩率高于对照组、剖宫产率低于对照,差异有统计学意义(χ^(2)=3.61、4.07,P<0.05)。实验组患者的新生儿情况均优于对照组,差异有统计学意义(t=2.51、2.41、3.21、3.81,P<0.05)。实验组患者及新生儿并发症的发生率均低于对照组,差异有统计学意义(χ^(2)=4.21、5.61、6.01、6.81、5.41、6.81,P<0.05)。结论:远程护理联合个体化护理能够提高GDM患者的治疗效果及妊娠结局。

Objective:To explore the effect of remote care combined with individualized care on the treatment effect and pregnancy outcome of patients with gestational diabetes mellitus.Methods:A total of 80 patients with gestational diabetes treated in the hospital from March 2021 to March 2022 were selected.40 patients treated from March to September 2021 were selected as the control group and given routine care,and 40 patients treated from October 2021 to March 2022 were selected as the experimental group.On the basis of routine nursing,remote nursing and individual nursing were added.The treatment compliance,blood glucose control level,fetal development,mode of delivery,neonatal condition and incidence of complications were compared between the two groups.Results:After treatment,the treatment compliance score of the experimental group was higher than that of the control group,the difference was statistically significant(t=4.32,P<0.05).The blood glucose of the experimental group was better than that of the control group,and the difference was statistically significant(t=2.51,2.86,2.11,2.24,2.57;P<0.05).At 32 and 36 weeks of gestation,the fetal development of the experimental group was higher than that of the control group,and the difference was statistically significant(t=2.51,2.26,2.86,3.01,2.21,4.21,3.81,3.91,3.21,2.31;P<0.05).The natural delivery rate of the experimental group was higher than that of the control group,and the cesarean section rate was lower than that of the control group,with statistically significant difference(χ^(2)=3.61,4.07;P<0.05).Newborns in the experimental group were better than those in the control group,and the difference was statistically significant(t=2.51,2.41,3.21,3.81;P<0.05).The incidence of neonatal complications in the experimental group was lower than that in the control group.The difference was significant(χ^(2)=4.21,5.61,6.01,6.81,5.41,6.81;P<0.05).Conclusion:Remote care combined with individualized care can improve the treatment effect and pregnancy outcome of patients with gestational diabetes mellitus.