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专科护士实践模式的全程护理对妊娠期糖尿病孕妇血糖及妊娠结局的影响 被引量:1
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作者 虞晓迪 瞿邱炜 +1 位作者 顾耀耀 顾云娟 《黑龙江医学》 2024年第14期1772-1774,1778,共4页
目的:探讨专科护士实践模式的全程护理对妊娠期糖尿病(GDM)孕妇血糖及妊娠结局的影响,为临床护理提供依据。方法:选取2021年1月—2022年12月南通大学附属通州医院收治的78例GDM孕妇作为研究对象,根据护理方式的不同将其分为与对照组38... 目的:探讨专科护士实践模式的全程护理对妊娠期糖尿病(GDM)孕妇血糖及妊娠结局的影响,为临床护理提供依据。方法:选取2021年1月—2022年12月南通大学附属通州医院收治的78例GDM孕妇作为研究对象,根据护理方式的不同将其分为与对照组38例和实验组40例。对照组实施常规护理干预,实验组实施专科护士实践模式的全程护理干预。比较两组孕妇血糖控制效果及妊娠结局情况。结果:干预后,两组孕妇空腹血糖、餐后2 h血糖均明显低于干预前,且实验组低于对照组,差异均有统计学意义(t=2.864、2.093,P<0.05)。实验组孕妇及新生儿并发症发生率均明显低于对照组,差异均有统计学意义(χ^(2)=5.223、5.146,P<0.05)。结论:专科护士实践模式的全程护理可有效控制GDM孕妇血糖,改善不良妊娠结局,降低孕妇及新生儿并发症发生率。 展开更多
关键词 专科护士实践模式 全程护理 妊娠期糖尿病 血糖 妊娠结局
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专科护士实践模式对妊娠期糖尿病孕妇妊娠结局的影响 被引量:19
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作者 王娜 丁焱 +1 位作者 沈蓓蓓 阴传敏 《护理学杂志》 CSCD 2016年第20期1-4,共4页
目的探讨专科护士实践模式的可行性及其对妊娠期糖尿病孕妇妊娠结局的影响。方法将577例妊娠期糖尿病孕妇按时间段分为对照组323例,干预组254例。对照组在常规产检时接受血糖管理,干预组在常规产检的基础上,采用妊娠期糖尿病专科护士实... 目的探讨专科护士实践模式的可行性及其对妊娠期糖尿病孕妇妊娠结局的影响。方法将577例妊娠期糖尿病孕妇按时间段分为对照组323例,干预组254例。对照组在常规产检时接受血糖管理,干预组在常规产检的基础上,采用妊娠期糖尿病专科护士实践模式对其进行全程管理。比较两组妊娠结局。结果干预组胰岛素使用率,患者入院次数和住院时间显著少于或短于对照组(均P<0.01)。两组孕妇的分娩孕周、分娩方式、整个孕期体质量增长比较,差异无统计学意义(均P>0.05)。在新生儿方面,新生儿出生时体质量、巨大儿、新生儿低血糖发生率结局指标比较,差异无统计学意义(均P>0.05)。结论妊娠期糖尿病专科护士实践模式可行;通过该模式可降低胰岛素使用率,减少入院次数和住院天数,从而可减少医疗开支。 展开更多
关键词 妊娠期糖尿病 护理 专科护士 护士实践模式
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The development and evaluation of a nurse anaesthesia model for practice in South Africa
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作者 JD Holtzhausen Charlene Downing +1 位作者 Marie Poggenpoel Gugu Ndawo 《International Journal of Nursing Sciences》 CSCD 2022年第3期334-342,共9页
Objective This article aimed to present a developed model for nurse anaesthesia practice in South Africa and then to evaluate the model by national and international anaesthetist experts.Methods For the model developm... Objective This article aimed to present a developed model for nurse anaesthesia practice in South Africa and then to evaluate the model by national and international anaesthetist experts.Methods For the model development,a theory-generative research design was used as guided by Chinn&Kramer.The study included four steps to develop and evaluate the model:step one,concept analysis;step two,placing the concepts into relationships;step three,description and critical reflection of the model;step four,evaluation of the model.For evaluation of the model,data were collected using individual,in-depth interviews.Four South African medical specialist anaesthesiologists and four international nurse anaesthetists were interviewed.Transcribed interviews were analyzed using Tesch’s eight steps of thematic data analysis.Results The model was described in four phases:relationship phase,working phase,termination phase,and independent phase.The model shows a development process of a student nurse anaesthetist by a nurse anaesthetist facilitator to the mastery of the scope of practice of a nurse anaesthetist.Two themes(six categories)emerged through thematic analysis:the model and guidelines for implementation were found to be appropriate(model and guidelines for implementation are important because of the need for nurse anaesthetist,the model is applicable because it is described as comprehensive,the relationship phase was found to be important and the interdependence between disciplines is imperative,the affirmation that mastery has to be attained by nurse anaesthetists due to the complexity of services rendered),anticipated limitations to the South African nurse anaesthetist(the need to identify complex patients and limitations on the setting and refer to higher level of care,limitations due to red tape).Conclusions This model provides fertile soil to inform and outline the education(curriculum)and practice(scope of practice)and research for nurse anaesthesia practice in South Africa. 展开更多
关键词 Nurse Anesthetists OCCUPATION Practice model South Africa
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