个性化护理干预对妊娠糖尿病者血糖及妊娠结局的影响分析

蔡晓洁 谭萌蕊 张芹

[摘要] 目的 探究對妊娠糖尿病产妇应用个性化护理方案，对产妇血糖与妊娠结局的影响。方法 选该院在2017年9月—2019年9月时间段内治疗的80例妊娠糖尿病产妇为样本进行研究。经由单双数随机分组法分作观察组（40例，个性化护理）与对照组（40例，常规护理）。比较两组FPG、2 hPG与HbAlc;新生儿窒息、新生儿低血糖、巨大儿与先兆子痫情况;妊娠期高血压综合征、产后出血、产后感染与剖宫产。 结果 干预后观察组FPG、2 hPG以及HbAlc水平改善程度均强于对照组（P<0.05）。新生儿窒息与巨大儿两组差异无统计学意义（P>0.05）。新生儿低血糖与先兆子痫率，对照组均高于观察组（P<0.05）。对照组妊娠期高血压综合征、产后出血、产后感染与剖宫产情况均高于观察组（P<0.05）。 结论 个性化护理具有改良产妇血糖水平的效果，同时能够减少发生新生儿与产妇的不良结局，临床使用价值高。

[关键词] 糖尿病;护理;血糖;妊娠

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0143-03

Analysis of the Effect of Personalized Nursing Intervention on Blood Glucose and Pregnancy Outcome in Patients with Gestational Diabetes

CAI Xiao-jie1， TAN Meng-rui1， ZHANG Qin2

1.Nursing Department， Chengyang District People's Hospital， Qingdao， Shandong Province， 266109 China; 2.Department of Neurology， Chengyang District People's Hospital， Qingdao， Shandong Province， 266109 China

[Abstract] Objective To explore the effect of applying personalized nursing schemes on maternal blood glucose and pregnancy outcomes in pregnant women with gestational diabetes. Methods A sample of 80 pregnant women with gestational diabetes who were treated by the hospital during the period of September 2017 to September 2019 was selected for study. They were divided into observation group （40 cases， personalized nursing） and control group （40 cases， routine nursing） by single and even random grouping. FPG，2 hPG， and HbAlc were compared between the two groups; neonatal asphyxia， neonatal hypoglycemia， macrosomia， and preeclampsia; hypertension during pregnancy， postpartum hemorrhage， postpartum infection， and cesarean section. Results After the intervention， the levels of FPG， 2 hPG and HbAlc in the observation group were better than those in the control group（P<0.05）. There was no statistically significant difference between neonatal asphyxia and macrosomia between the two groups （P>0.05）. The neonatal hypoglycemia and preeclampsia rates were higher in the control group than in the observation group（P<0.05）. The control group's pregnancy-induced hypertension syndrome， postpartum hemorrhage， postpartum infection， and cesarean section were all higher than those of the observation group（P<0.05）. Conclusion Personalized nursing has the effect of improving maternal blood glucose levels， at the same time can reduce the occurrence of neonatal and maternal adverse outcomes， clinical use value is high.

[Key words] Diabetes; Nursing; Blood glucose; Pregnancy

据不完全统计，每一年度，我国妊娠糖尿病产妇约占总产妇的3%，其中约85%为妊娠期糖尿病，约15%为糖尿病疾病合并妊娠[1]。同时妊娠产妇伴随糖尿病疾病的患者数量还在每年不断上涨，疾病会导致产妇分娩难度进一步提升，流产、早产概率高，且对胎儿有成长有极大不利影响，对此医护人员必须给予高度重视。控制产妇血糖是获得良好妊娠结局的重点，做好妊娠期护理工作有利于控制血糖、降低不良妊娠结局发生率。常规护理对产妇个体实际情况多有忽视，对产妇自身疾病情况认知有限，个性化护理重视产妇自身情况，为产妇提供其需要的服务，更有利于帮助产妇控制血糖，收获良好妊娠结局[2]。该研究对该院2017年9月—2019年9月内收治的80例产妇进行研究，旨在了解个性化护理对产妇控制血糖及妊娠结局的影响，现报道如下。……