持续性护理干预在妊娠期糖尿病患者护理中的临床效果

翟明华

（陕西省铜川市中医医院妇产科，陕西 铜川，727000）

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摘要：

目的 观察持续性护理干预对妊娠期糖尿病患者血糖控制及妊娠结局的影响。方法 选取我院妇产科门诊2012年5月至2016年12月孕期体检发现糖尿病的孕妇60 例作为研究对象，将患者随机分为观察组与对照组，每组30 例。对照组患者 给予常规护理，观察组给予持续性护理干预，比较两组患者的血糖水平及妊娠结局。结果 护理前，两组患者的空腹和餐后血 糖水平比较，无显著差异（P>0.05）；护理后，两组患者的空腹和餐后血糖水平均降低，且观察组上述指标低于对照组（P<0.05）。观察组患者的并发症总发生率为13.33%，低于对照组的46.67%（P<0.05）。结论 持续性护理干预可有效改善妊娠 期糖尿病的空腹血糖和餐后血糖水平，减少患者并发症的发生，提高护理质量及患者的满意度。

关键词：持续性护理干预；妊娠期糖尿病；并发症

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)34-0159-02

Effect of continuous nursing intervention in patients with gestational diabetes mellitus
ZHAI Ming-hua
(Gynecology and Obstetrics Department, Traditional Chinese Medicine Hospital of Tongchuan, Tongchuan 727000, China)

ABSTRACT: Objective To observe the effect of continuous nursing intervention on blood sugar control and pregnancy outcomes of patients with gestational diabetes mellitus. Methods From May 2012 to December 2016, 60 cases of pregnant women with diabetes from pregnancy test in the outpatients of obstetrics and gynecology department were selected as the study objects, and randomly divided into observation group and control group, with 30 cases in each group. The control group was given routine nursing, and the observation group was given continuous nursing intervention. The blood glucose levels and pregnancy outcomes were compared between the two groups. Results Before nursing, there were no significant differences in the levels of fasting blood-glucose and postprandial blood glucose between the two groups (P>0.05); after nursing, the levels of fasting blood -glucose and postprandial blood glucose decreased in both groups, and the above indexes in the observation group were lower than those in the control group (P<0.05). The total complication rate in the observation group was 13.33% , which was lower than 46.67% of the control group (P<0.05). Conclusion Continuous nursing intervention can effectively improve the fasting blood glucose and postprandial blood glucose levels of gestational diabetes mellitus, reduce the incidence of complications and improve the quality of care and patients`` satisfaction.

KEYWORDS: continuous nursing intervention; gestational diabetes mellitus; complications

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