首页|ICU妊高征合并糖尿病患者护理中综合护理干预的临床效果研究

ICU妊高征合并糖尿病患者护理中综合护理干预的临床效果研究

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目的 研究重症监护病房(ICU)妊娠期高血压综合征(妊高征)合并糖尿病患者应用综合护理干预的临床效果。方法 选取100例妊高征合并糖尿病患者,根据随机抽签法分为对照组(采用ICU护理干预,50例)与观察组(采用综合护理干预,50例)。比较两组患者护理效果。结果 护理前,两组患者舒张压、收缩压水平比较,差异无统计学意义(P>0。05);观察组护理后舒张压、收缩压水平分别为(80。60±4。35)mmHg、(112。37±4。86)mmHg,均低于对照组的(88。27±4。81)mmHg、(124。60±5。73)mmHg(P<0。05)。护理前,两组患者空腹血糖、餐后2 h血糖水平比较,差异无统计学意义(P>0。05);观察组护理后空腹血糖、餐后2 h血糖水平均低于对照组(P<0。05)。观察组不良妊娠结局发生率低于对照组(P<0。05)。观察组用药规范、饮食规范、运动规范、疾病认知护理依从性评分均高于对照组(P<0。05)。结论 妊高征合并糖尿病患者护理中应用综合护理干预,可降低血压、血糖水平,降低不良妊娠结局,提高患者护理依从性,具有临床推广价值。
Clinical effect of comprehensive nursing intervention in ICU patients with PIH complicated with diabetes
Objective To study the clinical effect of comprehensive nursing intervention in patients with pregnancy-induced hypertension syndrome(PIH)and diabetes mellitus in intensive care unit(ICU).Methods 100 patients with PIH complicated with diabetes were selected and divided into control group(ICU nursing intervention,50 cases)and observation group(comprehensive nursing intervention,50 cases)according to random drawing method.The nursing effect of the two groups was compared.Results Before nursing,there was no significant difference in diastolic and systolic blood pressure between the two groups(P>0.05).The diastolic blood pressure and systolic blood pressure of the observation group after nursing were(80.60±4.35)mmHg and(112.37±4.86)mmHg,respectively,which were lower than those of the control group(88.27±4.81)mmHg and(124.60±5.73)mmHg(P<0.05).Before nursing,there was no significant difference in fasting blood glucose level and 2 h postprandial blood glucose level between 2 groups(P>0.05).The levels of fasting blood glucose and 2 h postprandial blood glucose in the observation group were lower than those in the control group(P<0.05).The incidence of adverse pregnancy outcome in observation group was lower than that in control group(P<0.05).The scores of medication standard,diet standard,exercise standard and disease cognition nursing compliance in observation group were higher than those in control group(P<0.05).Conclusion The application of comprehensive nursing intervention in the nursing of PIH patients with diabetes can reduce blood pressure and blood sugar levels,reduce adverse pregnancy outcomes,and improve the nursing compliance of patients,which has clinical popularization value.

Pregnancy-induced hypertension syndromeDiabetes mellitusComprehensive nursing intervention

姬莹、刘美、刘翔凤

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青岛市胶州中心医院 护理部,山东青岛 266300

妊娠期高血压综合征 糖尿病 综合护理干预

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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