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目的探讨循证护理干预在妊娠糖期尿病患者中的应用效果以及对妊娠结局的影响。方法选取黄冈市妇幼保健院2012年6月—2015年6月收治的妊娠期糖尿病患者90例,按照随机数字表法分为对照组和试验组,各45例。对照组采用常规护理,试验组采用循证护理干预。比较两组患者的血糖水平变化及母婴并发症发生情况。结果护理前,两组患者空腹血糖、餐后2h血糖水平比较,差异无统计学意义(P>0.05);护理后,试验组患者空腹血糖、餐后2h血糖水平均低于对照组,差异有统计学意义(P<0.05)。试验组患者妊娠期高血压疾病、胎膜早破、羊水过多发生率均低于对照组,差异有统计学意义(P<0.05);试验组巨大儿、早产儿、黄疸及呼吸窘迫发生率均低于对照组,差异有统计学意义(P<0.05)。结论循证护理干预应用在妊娠期糖尿病患者中,能够有效控制血糖水平,减少母婴并发症的发生,改善妊娠结局。
Objective To explore the effect of evidence-based nursing intervention in gestational diabetes mellitus and its effect on pregnancy outcome. Methods 90 cases of gestational diabetes mellitus admitted from June 2012 to June 2015 in Huanggang Maternal and Child Health Hospital were divided into control group and trial group according to random number table method, 45 cases each. The control group received routine nursing, and the experimental group used evidence-based nursing intervention. The changes of blood glucose level and the incidence of maternal and infant complications in two groups were compared. Results Before treatment, there was no significant difference in fasting blood glucose and postprandial 2h blood glucose between the two groups (P> 0.05). After nursing, the fasting blood glucose and postprandial blood glucose 2h were lower in the experimental group than in the control group Statistical significance (P <0.05). The incidence of pregnancy-induced hypertension, premature rupture of membranes and amniotic fluid in experimental group were significantly lower than those in control group (P <0.05). The incidence of macrosomia, premature infants, jaundice and respiratory distress Were lower than the control group, the difference was statistically significant (P <0.05). Conclusion Evidence-based nursing intervention in gestational diabetes patients can effectively control blood sugar levels, reduce the incidence of maternal and infant complications and improve pregnancy outcomes.