摘要
目的探讨协同护理模式对妊娠糖尿病患者家庭功能和妊娠结局的影响。方法选择妊娠糖尿病患者128例,采用随机数字表法分为对照组(64例)和观察组(64例)。对照组实施常规护理,观察组实施协同护理模式。以家庭功能评定量表(FAD)评价干预前和干预后家庭功能及比较两组的妊娠结局。结果干预后观察组家庭功能各维度得分显著高于对照组(P<0.05,P<0.01)。观察组剖宫产、早产、胎膜早破、羊水过多、产后出血感染、糖尿病急性并发症发生率较对照组显著降低(P<0.05,P<0.01)。观察组巨大儿、宫内窘迫、新生儿低血糖发生率较对照组显著降低(P<0.05,P<0.01)。结论应用协同护理模式能提高患者的家庭功能,降低围生期不良并发症,提高自然分娩率,改善母婴预后。
Objective To explore the effect of collaboration care model on family function and pregnancy outcomes in patients with gestational diabetes mellitus（GDM）.Methods Totally 128 GDM patients were randomized into a control group and an observation group using random number table,with 64 patients in each group.The control group received routine nursing,while the observation group received collaboration care model.The family function measured using family assessment device（FAD）before and after the intervention and pregnancy outcomes of the two groups were compared.Results After the intervention,each dimension score of FAD family function of the observation group were significantly higher than those of the control group（P〈0.05,P〈0.01）.The incidence of caesarean section,premature,premature rupture of membranes,polyhydramnios,postpartum hemorrhage,infection and acute complication of the observation group were significantly lower than those of the control group（P〈0.05,P〈0.01）.The incidence of fetal macrosomia,hypoglycemia and perinatal asphyxia of the observation group were significantly lower than those of the control group（P〈0.05,P〈0.01）.Conclusion Application of collaboration care model can improve patients’ family function,reduce adverse perinatal complications,enhance the rate of natural childbirth and improve maternal and infant prognosis.
作者
陈雪香
魏碧蓉
杨亚妹
Chen Xuexiang,Wei Birong,Yang Yamei(Nursing Department of Medical College,Putian University,Putian 351100,Chin)
出处
《护理学杂志》
CSCD
北大核心
2018年第6期87-89,共3页
Journal of Nursing Science
基金
福建省中青年教师教育科研项目(科技A类)(JA14278)
关键词
妊娠糖尿病
协同护理模式
家庭功能
妊娠结局
母婴安全
gestational diabetes mellitus
collaboration care model
family function
pregnancy outcomes
maternal and infant safety
