摘要
目的 探讨早期护理干预在妊娠期糖尿病中的应用效果.方法 选取2021年6月—2023年5月荣成市人民医院收治的82例妊娠期糖尿病患者为研究对象,根据不同的护理方法分为研究组和对照组,各41例.研究组采用早期护理干预,对照组采用常规护理.比较两组空腹血糖水平、餐后2 h血糖水平、糖化血红蛋白水平、依从率、满意度、不良妊娠结局(产后出血、巨大儿、低体重儿)发生率.结果 护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(5.78±0.62)mmol/L、(7.34±0.95)mmol/L、(6.08±0.74)%,均低于对照组的(7.05±0.91)mmol/L、(8.72±1.04)mmol/L、(7.61±0.85)%,差异有统计学意义(t=3.825、4.198、4.479,P均<0.05).研究组依从率高于对照组,差异有统计学意义(P<0.05).研究组满意度高于对照组,差异有统计学意义(P<0.05).研究组并发症发生率与不良妊娠结局发生率低于对照组,差异有统计学意义(P均<0.05).结论 妊娠期糖尿病患者运用早期护理干预,患者的血糖指标水平更低,满意度更高,依从性更好,并发症和不良妊娠结局发生率更低.
Abstract
Objective To explore the application effect of early nursing intervention in gestational diabetes mellitus.Methods A total of 82 patients with gestational diabetes mellitus admitted to Rongcheng People's Hospital from June 2021 to May 2023 were selected as the research objects.According to different nursing methods,they were divided into study group and control group,with 41 cases in each group.The study group received early nursing intervention,and the control group received routine nursing.The fasting blood glucose level,2-hour postprandial blood glucose level,glycated hemoglobin A1c level,compliance rate,satisfaction and adverse pregnancy outcomes(postpartum hem-orrhage,macrosomia,low birth weight infant)rate were compared between the two groups.Results Afer-nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the study group were(5.78±0.62)mmol/L,(7.34±0.95)mmol/L and(6.08±0.74)%,respectively,which were lower than(7.05±0.91)mmol/L,(8.72±1.04)mmol/L and(7.61±0.85)%in the control group,and the differences were statistically significant(t=3.825,4.198,4.479,all P<0.05).The compliance rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The satisfaction rate of the study group was higher than that of the control group,and the difference was statistically significan(P<0.05).The incidence of complications and adverse pregnancy outcomes in the study group were lower than that in the control group,and the differences were statistically significant(both P<0.05).Conclusion Using early nursing intervention in gestational diabetes,the patient's blood glu-cose index level is lower,the satisfaction is higher,and the compliance is better,and the incidence of complications and adverse pregnancy outcomes were lower.
维普
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