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目的探讨妊娠阶段的强化护理干预对妊娠期糖尿病产妇妊娠结局的影响。方法选取2015年10月至2017年10月于成都市妇女儿童中心医院就诊的100例妊娠期糖尿病孕妇作为研究对象。将患者随机分为强化护理组(实验组)50例和常规护理组(对照组)50例,其中强化护理组给予基于孕周不同阶段的结合健康教育、个体化营养及运动处方、心理干预等方法的强化护理干预,常规护理组给予常规护理保健。比较分析2组干预后血糖、体质量等指标的变化情况以及最终的妊娠结局。结果强化护理组的血糖显著低于常规护理组(P<0.05)。强化护理组孕妇孕期体质量增长显著低于常规护理组(P<0.05)。强化护理组孕妇围产期发生羊水过多、产后出血以及妊娠期高血压病的发生率显著低于常规护理组(P<0.05)。强化护理组新生儿出现新生儿低血糖、高胆红素血症、新生儿窒息、巨大儿等几率较常规护理组显著降低(P<0.05)。结论妊娠阶段的强化护理干预提高了妊娠期糖尿病血糖控制有效率,帮助控制孕妇孕期体质量增长,降低母婴围产期并发症发生率,明显改善妊娠结局。
Abstract：Objective To investigate the impact of intensive nursing intervention based on gestation trimesters on pregnancy outcomes in gestational diabetes women.Methods A total of 100 gestational diabetes women hospitalized in the hospital from October 2015 to October 2017 were enrolled in the study, and were randomly divided into the intensified nursing group(or the experimental group) and the routine nursing group(or the control group), each consisting of 50 subjects. The patients in the experimental group received a comprehensive and intensive nursing based on gestation trimesters, including health education, individualized nutritional intervention and exercise, psychological intervention and other nursing interventions, while the patients in the control group received routine nursing intervention. Then, changes in the levels of blood sugar, body weight, as well as final pregnancy outcomes were compared between the 2 groups.Results The level of blood sugar of the experimental group was significantly lower than that of the control group(P<0.05). The body weight gain of the experimental group was significantly lower than that of the control group(P<0.05). The rates of pregnant complications, such as excessive amniotic fluid, postpartum hemorrhage and gestational hypertension in the experimental group were significantly lower than those in the control group(P<0.05). The rates of newborn complications, such as neonate hypoglycemia, hyperbilirubinemia, asphyxia and macrosomia in the experimental group were all significantly lower than those in the control group(P<0.05).Conclusion Intensive nursing intervention based on gestation trimesters could help to control blood sugar level and body weight gain during pregnancy, and at the same time could reduce the rate of complications during perinatal period, and ultimately improve pregnancy outcomes in gestational diabetes women.
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基本信息:
中图分类号:R473.71
引用信息:
[1]肖瑾,马丽娴,石燕.妊娠阶段的强化护理干预对妊娠期糖尿病孕产妇妊娠结局的影响[J].海军医学杂志,2019,40(04):358-360.
2019-07-28
2019-07-28