摘要
目的探讨多学科协作护理在妊娠期糖尿病中的治疗效果,以提高临床整体护理能力,使得患者疾病得到良好管理,获得较好预后。方法以2021年1月—2022年1月莆田市第一医院产科收治的400例妊娠期糖尿病患者为研究主体,将其采用单双号抽签的方式分为对照组和观察组各200例,对照组实施常规护理,观察组实施多学科协作护理。将两组患者的血糖、体质量达标率、遵医行为(科学饮食、适当运动、按时复查、血糖监测等)及不良妊娠结局进行综合比较评估。结果与对照组比较,观察组血糖、体质量达标率及遵医行为明显高于对照组,差异均有统计学意义(P<0.05);观察组在剖宫产、巨大儿方面发生率明显低于对照组,差异均有统计学意义(P<0.05);两组在新生儿窒息、低血糖、畸形、高胆红素血症方面比较,差异无统计学意义(P>0.05)。结论多学科协作护理用于妊娠期糖尿病患者中,不仅有助于提升其血糖及体质量的达标率,还能提升患者的遵医行为,使其积极主动参与到疾病的管理中,促使其疾病得到良好管理,避免出现不良的妊娠结局,减少各种不良事件的发生,值得临床推广应用。
Objective To explore the therapeutic effect of multidisciplinary collaborative nursing in gestational diabetes mellitus,so as to improve the overall clinical nursing ability and make patients’diseases well managed and obtain better prognosis.Methods From January 2021 to January 2022,400 patients with gestational diabetes mellitus admitted to Obstetrics Department of Putian First Hospital were taken as the subjects of the study.They were divided into the control group and the observation group by drawing lots with single and double numbers.The control group received routine nursing,and the observation group received multidisciplinary collaborative nursing.The blood glucose,body mass compliance rate,compliance behavior(scientific diet,proper exercise,timely review,blood glucose monitoring,etc.)and adverse pregnancy outcomes of the two groups were comprehensively compared and evaluated.Results Compared with the control group,the blood glucose,body mass and compliance behavior in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of cesarean section and macrosomia in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference between the two groups in neonatal asphyxia,hypoglycemia,malformation and hyperbilirubinemia(P<0.05).Conclusion Multidisciplinary collaborative nursing for patients with gestational diabetes mellitus could not only help to improve the rate of reaching the standard of their blood sugar and body mass,but also improve the patients’compliance behavior,make them actively participate in the management of diseases,promote the good management of their diseases,avoid bad pregnancy outcomes,and reduce the occurrence of various adverse events,which was worthy of clinical promotion and application.
作者
张荔旗
邱玲华
ZHANG Li-qi;QIU Ling-hua(Obstetrics Department,Putian First Hospital,Putian Fujian Province 351100,China)
出处
《中国城乡企业卫生》
2022年第12期104-106,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
多学科协作护理
妊娠期糖尿病
血糖水平
Multidisciplinary cooperative nursing
Gestational diabetes mellitus
Blood glucose level
