首页|分层护理在GDM产妇分娩新生儿血糖管理中的应用效果

分层护理在GDM产妇分娩新生儿血糖管理中的应用效果

扫码查看
目的:探讨分层护理在妊娠期糖尿病(GDM)产妇分娩的新生儿血糖管理中的应用效果.方法:收集本院2021年3月—2023年3月住院的220例GDM产妇及其分娩新生儿,根据入院顺序不同分为两组,对照组110例实施常规护理、观察组110例实施分层护理.比较两组新生儿低血糖发生情况、血糖恢复时间、葡萄糖补充量,评价两组产妇护理满意度.结果:观察组累计新生儿低血糖(9.1%)、临界低血糖(13.6%)和再发低血糖发生率(0)均低于对照组(22.7%、33.6%、6.4%)(P<0.05),但症状性低血糖发生率(0.9%)与对照组(3.6%)无差异(P>0.05);患儿的血糖恢复时间(75.32±13.59min)、葡萄糖补充量(30.01±3.69ml)低于对照组(112.65±26.17min、42.58±6.17ml),产妇护理满意度(96.4%)高于对照组(85.5%)(P<0.05).结论:分层护理有利于提高GDM产妇分娩的新生儿血糖管理质量,降低新生儿低血糖发生率,促进低血糖新生儿的血糖恢复并减少补充量,提高产妇满意度.
Application effect of the stratified nursing in the management of the postpartum blood glucose of newborns delivered by pregnant women with gestational diabetes mellitus
Objective:To explore the application effect of the stratified nursing in the management of the postpartum blood glucose of newborns delivered by pregnant women with gestational diabetes mellitus(GDM).Methods:220 pregnant women with GDM and their newborns in hospital from March 2021 to March 2023 were collected and were di-vided into two groups(110 cases in each group)according to the orders of the admission to hospital of the women.The women in the control group had received routine nursing,while the women in the observation group had received the stratified nursing.The incidence of the hypoglycemia,the recovery time of the blood glucose,and the glucose supple-mentation situation of the newborns were compared between the two groups.The nursing satisfaction of the women in the two groups was evaluated.Results:The cumulative rate of the neonatal hypoglycemia(9.1%),the borderline hy-poglycemia rate(13.6%)and the recurrent hypoglycemia rate(0)of the newborns in the observation group were sig-nificantly lower than those(22.7%,33.6%and 6.4%)of the newborns in the control group(P<0.05).There was no significant difference in the incidence of the symptomatic hypoglycemia(0.9%vs.3.6%)of the newborns between the two groups(P>0.05).The recovery time of the blood glucose level(75.32±13.59min)and the glucose supplement magnitude(30.01±3.69ml)of the newborns in the observation group were significantly lower than those(112.65±26.17min and 42.58±6.17ml)of the newborns in the control group.The maternal nursing satisfaction(96.4%)of the women in the observation group was significantly higher than that(85.5%)of the women in the control group(P<0.05).Conclusion:The stratified nursing for the pregnant women with GDM is beneficial for improving the quality of the blood glucose management of their newborns,which can reduce the incidence of the neonatal hypoglycemia,pro-mote the blood glucose recovery of the hypoglycemic newborns,reduce the glucose supplementation for the newborns and improve the maternal satisfaction.

Gestational diabetes mellitusNewbornBlood glucose managementHypoglycemiaStratified nursing

张芝华、徐爱花、张春、潘留留、史黎云、徐双琴

展开 >

江苏省南京市高淳人民医院,江苏大学附属高淳医院(211300)

妊娠期糖尿病 新生儿 血糖管理 低血糖 分层护理

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(5)
  • 19