妊娠糖尿病患者孕期精细化护理方案的制定及应用效果

Formulation and application effect of refined nursing plan for gestational diabetes mellitus patients during pregnancy

目的制定妊娠糖尿病患者孕期的精细化护理方案并探讨其临床应用效果。方法以2022年1月至2023年1月于镇江市第四人民医院产检及分娩的96例妊娠糖尿病患者作为研究对象,采用随机抽签法分为2组,对照组48例患者施以孕期常规护理,观察组48例患者则在对照组基础上施以孕期精细化护理方案。比较2组的血糖指标水平、自我管理行为及母婴妊娠不良结局事件发生情况。结果干预3个月后,观察组的血糖相关指标水平均较对照组更低,糖尿病自我管理行为量表各个维度评分均较对照组更高(P均<0.05);2组均较首次确诊时更优(P均<0.05)。观察组的母婴不良结局事件总发生率均较对照组更低(P均<0.05)。结论精细化护理方案用于妊娠糖尿病患者可有效控制血糖水平,预防母婴不良妊娠结局,并有助于自我管理行为的养成。

Objective To formulate the refined nursing plan for gestational diabetes mellitus patients during pregnancy and explore its clinical application effect.Methods Ninety-six patients with gestational diabetes mellitus who received prenatal examination and delivery at the Fourth People's Hospital of Zhenjiang from January 2022 to January 2023 were selected as research subjects and divided into two groups by random drawing method.Forty-eight patients in the control group received routine nursing during pregnancy,and forty-eight patients in the observation group received a refined nursing plan based on the nursing measures of the control group during pregnancy.The blood glucose levels,self-management behavior,and incidence of adverse pregnancy outcomes were compared between the two groups.Results After three months of intervention,the levels of blood glucose related indicators in the observation group were lower than those in the control group,and the scores of all dimensions of the Diabetes self-Care Scale in the observation group were higher than those in the control group(all P<0.05).The above indicators and scores of both groups were better than those at the time of initial diagnosis(all P<0.05).The overall incidence of adverse maternal and infant outcomes in the observation group was lower than that in the control group(both P<0.05).Conclusion The refined nursing plan for gestational diabetes mellitus patients can effectively control the blood glucose level,prevent adverse maternal and infant outcomes,and help develop self-management behavior.