快速康复护理在妊娠期糖尿病患者剖宫产围术期护理中的应用效果

Application Effect of Rapid Rehabilitation Nursing in Perioperative Nurs⁃ing of Cesarean Section in Patients with Gestational Diabetes Mellitus

目的探究快速康复护理在妊娠期糖尿病(gestational diabetes mellitus,GDM)患者剖宫产围术期护理中的应用价值。方法选择2021年6月—2023年6月河西学院附属张掖人民医院行剖宫产的80例GDM患者,按护理方法不同分为常规组(n=40,常规围术期护理)、观察组(n=40,快速康复护理),比较两组血糖水平、并发症及低血糖发生风险、生活质量。结果出院前1 d,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于常规组,差异有统计学意义(P均<0.05)。观察组并发症发生率低于常规组,差异有统计学意义(P<0.05)。两组低血糖发生率对比,差异无统计学意义(P>0.05)。出院前1 d,观察组生活质量评分高于常规组,差异有统计学意义(P<0.05)。结论在GDM患者剖宫产围术期护理中应用快速康复护理,可改善患者血糖水平,降低并发症发生风险,提升其生活质量。

Objective To explore the application value of rapid rehabilitation nursing in perioperative nursing of cesar⁃ean section in patients with gestational diabetes mellitus(GDM).Methods A total of 80 GDM patients who underwent cesarean section in Zhangye People's Hospital Affiliated to Hexi University from June 2021 to June 2023 were se⁃lected and divided into routine group(n=40,routine perioperative nursing)and observation group(n=40,rapid reha⁃bilitation nursing)according to different nursing methods.Blood glucose levels,complications,risk of hypoglycemia and quality of life of the two groups were compared.Results One day before discharge,the levels of fasting blood glu⁃cose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the observation group were lower than those in the routine group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that in the routine group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of hypoglycemia between the two groups(P>0.05).One day before discharge,the quality of life score of the observation group was higher than that of the routine group,and the differ⁃ence was statistically significant(P<0.05).Conclusion The application of rapid rehabilitation nursing in the periopera⁃tive nursing of GDM patients with cesarean section can improve the blood glucose level,reduce the risk of complica⁃tions,and improve their quality of life.