妊娠期糖尿病临床护理干预的效果分析
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摘要
目的探讨与分析护理干预对妊娠期糖尿病产妇的妊娠结局产生的影响。方法回顾性分析该院自2011年9月—2014年2月所收治的妊娠期糖尿病产妇100例的临床资料,分成对照组45例和观察组55例,对于对照组产妇给予一般常规的临床护理,而对于观察组患者,则在常规性护理基础上给予针对性的护理干预,然后观察两组患者的血糖控制状况和妊娠结局。结果经过临床护理干预,观察组患者空腹血糖和餐后2 h血糖分别为(5.61±1.19)mmol/L和(8.37±1.69)mmol/L,明显低于对照组患者的(8.40±2.25)mmol/L和(10.54±2.51)mmol/L,组间差异有统计学意义(P<0.05),同时,护理后观察组妊高症、产后出血和早产儿的发生率分别为3.08%、1.54%和4.62%,明显低于对照组患者(20.83%、15.28%和15.28%),该两组患者的上述指标对比,亦存在着明显差异,差异有统计学意义。结论对于全部妊娠期糖尿病产妇,实施具有针对性的临床护理干预,可以非常明显地降低围生期的母婴并发症,从而改善结妊娠的结局,值得临床推广采用。
Objective Discussion and Analysis on influence of nursing intervention on pregnancy outcome of women with gestational diabetes mellitus. Methods A retrospective analysis of our hospital from 2011 September to 2014 February, the clinical data from 137 cases of maternal gestational diabetes, divided into the control group of 65 cases and observation group 72 cases, control group given clinical nursing for parturient conventional, while for the patients in the observation group, on the basis of routine nursing care given to intervention, then the two groups were observed in patients with glycemic control and pregnancy outcome. Results Through the clinical nursing intervention, the patients in observation group were fasting and 2 hour postprandial blood glucose were(5.61±1.19) mmol/L and(8.37±1.69) mmol/L, significantly lower than the control group patients(8.40±2.25) mmol/L and(10.54±2.51) mmol/L,there are statistically significant differences between groups(P less than 0.05), at the same time, nursing was observed after the pregnancy induced hypertension syndrome, postpartum hemorrhage and the incidence of premature infants were 3.08%, 1.54% and 4.62%, significantly lower than the patients in the control group(20.83%, 15.28% and 15.28%), in contrast to the above indexes of the two groups of patients, there existed obvious difference, with statistical significance. Conclusion For all maternal gestational diabetes, implementation has for clinical nursing intervension, can obviously reduce the complications of mothers and infants in perinatal period, thereby improving the node pregnancy outcome, is worthy of clinical use.
Objective Discussion and Analysis on influence of nursing intervention on pregnancy outcome of women with gestational diabetes mellitus. Methods A retrospective analysis of our hospital from 2011 September to 2014 February, the clinical data from 137 cases of maternal gestational diabetes, divided into the control group of 65 cases and observation group 72 cases, control group given clinical nursing for parturient conventional, while for the patients in the observation group, on the basis of routine nursing care given to intervention, then the two groups were observed in patients with glycemic control and pregnancy outcome. Results Through the clinical nursing intervention, the patients in observation group were fasting and 2 hour postprandial blood glucose were(5.61±1.19) mmol/L and(8.37±1.69) mmol/L, significantly lower than the control group patients(8.40±2.25) mmol/L and(10.54±2.51) mmol/L,there are statistically significant differences between groups(P less than 0.05), at the same time, nursing was observed after the pregnancy induced hypertension syndrome, postpartum hemorrhage and the incidence of premature infants were 3.08%, 1.54% and 4.62%, significantly lower than the patients in the control group(20.83%, 15.28% and 15.28%), in contrast to the above indexes of the two groups of patients, there existed obvious difference, with statistical significance. Conclusion For all maternal gestational diabetes, implementation has for clinical nursing intervension, can obviously reduce the complications of mothers and infants in perinatal period, thereby improving the node pregnancy outcome, is worthy of clinical use.
引文
[1]李丹.妊娠期糖尿病孕妇分娩时机对围产儿结局的影响[J].中国实用妇科与产科杂志,2008,15(5):168.
[2]朱志萍.对妊娠合并糖尿病患者实施健康教育的体会[J].齐齐哈尔医学院学报,2011,26(18):339.
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[4]王兰云,鲁静,阮芳.多元化护理干预对妊娠合并糖尿病患者的影响[J].中华全科医学,2012,19(8):205.
[5]盖冬梅,王茜茜,林瑞新.老年糖尿病患者的社区护理干预与健康教育[J].吉林医学,2010,18(2):339.
[6]HIROSHI YAMASHITA,JIANHUA SHAO,JACOBE.FRIEDMAN.Physiologic and Molecular Alterations in Carbohydrate Metabolism During Pregnancy and Gestational Diabetes Mellitus[J].Clinical Obstetrics and Gynecology,2013,17(1):724-725.
[7]王晓阳,杨丽霞.PBL式健康教育及早期护理干预对妊娠期糖尿病患者遵医行为及妊娠结局的影响[J].广东医学,2012,25(1):231.
[2]朱志萍.对妊娠合并糖尿病患者实施健康教育的体会[J].齐齐哈尔医学院学报,2011,26(18):339.
[3]马小丽,季飞飞.饮食标准化治疗对妊娠期糖尿病的干预[J].当代护士:学术版,2011,20(11):257.
[4]王兰云,鲁静,阮芳.多元化护理干预对妊娠合并糖尿病患者的影响[J].中华全科医学,2012,19(8):205.
[5]盖冬梅,王茜茜,林瑞新.老年糖尿病患者的社区护理干预与健康教育[J].吉林医学,2010,18(2):339.
[6]HIROSHI YAMASHITA,JIANHUA SHAO,JACOBE.FRIEDMAN.Physiologic and Molecular Alterations in Carbohydrate Metabolism During Pregnancy and Gestational Diabetes Mellitus[J].Clinical Obstetrics and Gynecology,2013,17(1):724-725.
[7]王晓阳,杨丽霞.PBL式健康教育及早期护理干预对妊娠期糖尿病患者遵医行为及妊娠结局的影响[J].广东医学,2012,25(1):231.