多学科护理对妊娠糖尿病并子痫前期的影响
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摘要
目的探究多学科合作下预防护理对妊娠糖尿病患者重度子痫前期发生率的影响。方法选取2014年6月—2016年9月我院收治的确诊为妊娠期糖尿病的120例患者作为研究对象。根据护理干预方案不同,将其分为两组。其中,对照组患者(n=55)进行常规护理,研究组患者(n=65)则接受多学科合作下的预防护理干预控制患者的血糖、血脂与体质量指数。对比两组患者的护理满意度、护理干预后的空腹血糖、血脂指标和身体质量指数,比较两组患者的重度子痫前期的发生率。结果研究组患者的护理满意度高于对照组患者,差异具有统计学意义(P <0.05);护理干预后,研究组患者的空腹血糖、身体质量指数、TC和TG水平均低于对照组患者,差异具有统计学意义(P <0.05);研究组患者GDM并发PE的发生率低于对照组患者,差异具有统计学意义(P <0.05)。结论多学科合作下预防护理干预可明显改善妊娠糖尿病患者的血脂相关指标,控制血糖水平在合理范围,降低重度子痫前期的发病率。
Objective To explore the effect of preventive nursing under multidisciplinary cooperation on the incidence of severe preeclampsia in patients with gestational diabetes mellitus. Methods 120 patients with gestational diabetes mellitus admitted to our hospital from June 2014 to September 2016 were selected as the study subjects. According to the different nursing intervention schemes, they were divided into two groups.The patients in the control group(n=55) received routine nursing. The patients in the study group(n=65) received preventive nursing intervention under multidisciplinary cooperation to control blood sugar, blood lipid and body mass index. The nursing satisfaction, fasting blood sugar, blood lipid index and body mass index after nursing intervention were compared between the two groups, and the incidence of severe preeclampsia was compared between the two groups. Results The nursing satisfaction of the study group was higher than that of the control group, the difference was statistically significant(P < 0.05). After nursing intervention, the levels of fasting blood sugar, body mass index, TC and TG in the study group were lower than those in the control group, the difference was statistically significant(P < 0.05). The incidence of GDM complicated with PE in the study group was lower than that in the control group, the difference was statistically significant(P < 0.05). Conclusion Multi-disciplinary cooperation in preventive nursing intervention can significantly improve blood lipid related indicators in patients with gestational diabetes, control blood sugar levels in a reasonable range, reduce the incidence of severe preeclampsia.
Objective To explore the effect of preventive nursing under multidisciplinary cooperation on the incidence of severe preeclampsia in patients with gestational diabetes mellitus. Methods 120 patients with gestational diabetes mellitus admitted to our hospital from June 2014 to September 2016 were selected as the study subjects. According to the different nursing intervention schemes, they were divided into two groups.The patients in the control group(n=55) received routine nursing. The patients in the study group(n=65) received preventive nursing intervention under multidisciplinary cooperation to control blood sugar, blood lipid and body mass index. The nursing satisfaction, fasting blood sugar, blood lipid index and body mass index after nursing intervention were compared between the two groups, and the incidence of severe preeclampsia was compared between the two groups. Results The nursing satisfaction of the study group was higher than that of the control group, the difference was statistically significant(P < 0.05). After nursing intervention, the levels of fasting blood sugar, body mass index, TC and TG in the study group were lower than those in the control group, the difference was statistically significant(P < 0.05). The incidence of GDM complicated with PE in the study group was lower than that in the control group, the difference was statistically significant(P < 0.05). Conclusion Multi-disciplinary cooperation in preventive nursing intervention can significantly improve blood lipid related indicators in patients with gestational diabetes, control blood sugar levels in a reasonable range, reduce the incidence of severe preeclampsia.
引文
[1]石云,钱宇佳,贾雪梅.妊娠期糖尿病合并子痫前期的相关因素及妊娠结局分析[J].南京医科大学学报(自然科学版),2015,35(12):1799-1801.
[2]王思灵,李丽红.早发型子痫前期并发妊娠期糖尿病患者糖脂代谢指标与新生儿早期乳酸及心肌酶谱相关性分析[J].中国综合临床,2017,33(4):364-368.
[3]高永妹.诱发妊娠期糖尿病孕妇发生子痫前期的风险因素探讨及其对妊娠结局的影响[J].中国妇幼保健,2016,31(23):4980-4982.
[4]邱瑞莹,杨蕾,姚雪梅.妊娠糖尿病并发子痫前期产妇妊娠结局及影响因素分析[J].新疆医科大学学报,2018,41(1):51-54.
[5]代振英,孙晓芳,肖红,等.妊娠期糖尿病与子痫前期的相关性分析及其对妊娠结局的影响[J].中国基层医药,2016,23(6):863-866.
[6]王贝.孕前体重指数、孕期体重增加与子痫前期在基层医院的妊娠结局关系[J].中国生育健康杂志,2017,28(5):481-483.
[7]王珊,张燕,钟文明,等.子痫前期发病的相关高危因素调查分析[J].中国妇幼保健,2017,32(1):125-127.
[8]吴青,江亚涛,周云,等.重度子痫前期及妊娠期糖尿病与妊娠晚期同型半胱氨酸关系[J].中华实用诊断与治疗杂志,2015,29(10):999-1001.
[9]华绍芳,苏莉军,李月琴.早发型子痫前期合并GDM患者血脂及游离脂肪酸含量与新生儿乳酸及心肌酶水平的探讨[J].实用妇产科杂志,2016,32(7):527-531.
[10]秦文芝,杨娜,高阳,等.妊娠期血脂变化与子痫前期关系探讨[J].临床军医杂志,2016,44(4):340-342.
[11]YANG Hui-xia.Diagnostic criteria for gestational diabetes mellitus(WS 331-2011)[J].Chinese Medical Journal,2012,125(7):1212-1213.
[12]闫珊,徐善才.多学科护理照顾模式对脑胶质瘤术后病人自我护理能力的影响[J].中国临床神经外科杂志,2017,22(5):352-354.
[13]吴丹,洪普,王娟,等.多学科诊疗模式下“三位一体”无缝隙护理服务在妊娠期糖尿病患者中的应用[J].中国医药导报,2016,13(30):114-117.
[14]柳萍,娄晓君,王怡,等.基于社会学习理论的妊娠糖尿病综合管理模式的探讨[J].医学与哲学(B),2017,38(7):87-90.
[15]于姗姗,杨韵欲.多学科联合早期干预对降低妊娠期糖尿病高危孕妇患病率的效果观察[J].实用临床医药杂志,2016,20(8):104-107.
[2]王思灵,李丽红.早发型子痫前期并发妊娠期糖尿病患者糖脂代谢指标与新生儿早期乳酸及心肌酶谱相关性分析[J].中国综合临床,2017,33(4):364-368.
[3]高永妹.诱发妊娠期糖尿病孕妇发生子痫前期的风险因素探讨及其对妊娠结局的影响[J].中国妇幼保健,2016,31(23):4980-4982.
[4]邱瑞莹,杨蕾,姚雪梅.妊娠糖尿病并发子痫前期产妇妊娠结局及影响因素分析[J].新疆医科大学学报,2018,41(1):51-54.
[5]代振英,孙晓芳,肖红,等.妊娠期糖尿病与子痫前期的相关性分析及其对妊娠结局的影响[J].中国基层医药,2016,23(6):863-866.
[6]王贝.孕前体重指数、孕期体重增加与子痫前期在基层医院的妊娠结局关系[J].中国生育健康杂志,2017,28(5):481-483.
[7]王珊,张燕,钟文明,等.子痫前期发病的相关高危因素调查分析[J].中国妇幼保健,2017,32(1):125-127.
[8]吴青,江亚涛,周云,等.重度子痫前期及妊娠期糖尿病与妊娠晚期同型半胱氨酸关系[J].中华实用诊断与治疗杂志,2015,29(10):999-1001.
[9]华绍芳,苏莉军,李月琴.早发型子痫前期合并GDM患者血脂及游离脂肪酸含量与新生儿乳酸及心肌酶水平的探讨[J].实用妇产科杂志,2016,32(7):527-531.
[10]秦文芝,杨娜,高阳,等.妊娠期血脂变化与子痫前期关系探讨[J].临床军医杂志,2016,44(4):340-342.
[11]YANG Hui-xia.Diagnostic criteria for gestational diabetes mellitus(WS 331-2011)[J].Chinese Medical Journal,2012,125(7):1212-1213.
[12]闫珊,徐善才.多学科护理照顾模式对脑胶质瘤术后病人自我护理能力的影响[J].中国临床神经外科杂志,2017,22(5):352-354.
[13]吴丹,洪普,王娟,等.多学科诊疗模式下“三位一体”无缝隙护理服务在妊娠期糖尿病患者中的应用[J].中国医药导报,2016,13(30):114-117.
[14]柳萍,娄晓君,王怡,等.基于社会学习理论的妊娠糖尿病综合管理模式的探讨[J].医学与哲学(B),2017,38(7):87-90.
[15]于姗姗,杨韵欲.多学科联合早期干预对降低妊娠期糖尿病高危孕妇患病率的效果观察[J].实用临床医药杂志,2016,20(8):104-107.