摘要
目的:观察综合护理在妊娠期糖尿病患者中的应用效果。方法:选取82例妊娠期糖尿病患者为研究对象,按随机数字表法将其分为研究组(n=41)和对照组(n=41)。对照组采用常规护理,研究组在对照组基础上采用综合护理,比较护理前后血糖指标[空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)]水平、负性情绪[一般心理健康问卷(GHQ-12)]评分、妊娠期并发症(妊娠期高血压、羊水过多)和妊娠结局(剖宫产、胎儿呼吸窘迫综合征)。结果:研究组FBG、2hPG、HbAlc水平均低于对照组,差异有统计学意义(P<0.05);研究组GHQ-12评分低于对照组,差异有统计学意义(P<0.05);研究组妊娠期高血压、羊水过多、剖宫产、胎儿呼吸窘迫综合征发生率均低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用综合护理可降低妊娠合并糖尿病患者血糖指标水平、负性情绪评分、妊娠期并发症发生率,改善妊娠结局,其效果优于单纯常规护理。
Objective: To observe application effects of comprehensive nursing in patients with gestational diabetes mellitus. Methods: 82patients with gestational diabetes mellitus were selected as the research objects and were divided into study group(n=41) and control group(n=41)according to the random number table method. The control group received routine nursing, while the research group received comprehensive nursing on the basis of that of the control group. The levels of blood glucose indicators [fasting blood glucose(FBG), 2h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbAlc)], the negative emotion score [general health questionnaire(GHQ-12)], the pregnancy complications(pregnancy induced hypertension, polyhydramnios) and the pregnancy outcomes cesarean section, fetal respiratory distress syndrome were compared before and after the nursing. Results: The levels of FBG, 2hPG and HbAlc in the study group were lower than those in the control group, and the differences were statistically significant(P<0.05). The GHQ-12 score of the study group was lower than that of the control group, and the difference was statistically significant(P<0.05). Further, the incidences of gestational hypertension, polyhydramnios, cesarean section, and fetal respiratory distress syndrome in the study group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusions: On the basis of the routine nursing, the comprehensive nursing can reduce blood glucose index levels, the negative emotion score, the incidence of pregnancy complications and improvement of pregnancy outcomes and the pregnancy outcomes in the patients with gestational diabetes mellitus. Moreover, it is superior to single routine nursing.
作者
郑丽莹
ZHENG Liying(Jinzhou Maternity and Infant Hospital,Jinzhou 121010 Liaoning,China)
出处
《中国民康医学》
2022年第11期180-182,共3页
Medical Journal of Chinese People’s Health
关键词
妊娠糖尿病
综合护理
血糖
糖化血红蛋白
妊娠结局
Gestational diabetes mellitus
Comprehensive nursing
Blood glucose
Glycosylated hemoglobin
Pregnancy outcome
