【摘要】 目的评价专科门诊后延续性护理开展于妊娠期糖尿病孕妇临床护理中的应用效果。方法方便选取该院妇产科门诊在2016年1—12月期间收治的120例妊娠期糖尿病孕妇,按随机数字表法分为对照组(n=60)及观察组(n=60),对照组行常规健康宣教,观察组行专科门诊后延续性护理;比较两组孕妇妊娠结局以及饮食、运动及血糖监测依从性。结果观察组剖宫产、低体重儿、巨大儿、新生儿畸形、新生儿窒息、早产发生率分别为11例(18.33%)、0例(0.00%)、1例(1.67%)、0例(0.00%)、0例(0.00%)、1例(1.67%)均低于对照组43例(71.67%)、6例(10.00%)、8例(13.33%)、6例(10.00%)、1例(1.67%)、8例(13.33%),两组比较,差异有统计学意义(χ2=30.455、4.386、4.324、4.386、0.000、4.324,P<0.05)。饮食、运动及血糖监测依从性分别为(4.21±0.18)分、(4.25±0.16)分、(4.35±0.15)分均高于对照组(2.68±0.24)分、(2.61±0.23)分、(2.64±0.25)分,差异有统计学意义(t=39.504、45.340、45.432,P<0.05)。结论专科门诊后延续性护理在妊娠期糖尿病孕妇中应用,可降低剖宫产率,改善母婴结局,临床价值高。更多还原

【Abstract】 Objective To evaluate the effect of continuous nursing after specialist outpatient clinic on clinical nursing of pregnant women with gestational diabetes. Methods A total of 120 pregnant women with gestational diabetes who were convenient admitted to our department of obstetrics and gynecology in our hospital from January to December 2016 were randomly divided into the control group(n=60) and the observation group(n=60). The control group underwent regular health education, and the observation group underwent continuous nursing after specialist outpatient service; the pregnancy outcomes of the two groups of pregnant women and the compliance of diet, exercise and blood glucose monitoring were compared. Results The incidence of cesarean section, low birth weight, macrosomia, neonatal malformation, neonatal asphyxia,and preterm birth were 11 cases(18.33%), 0 cases(0.00%), 1 case(1.67%), and 0 cases(0.00%), 0 cases(0.00%), and 1 case(1.67%) were lower than the control group in 43 cases(71.67%), 6 cases(10.00%), 8 cases(13.33%), and 6 cases(10.00%), 1 case(1.67%) and 8 cases(13.33%), the difference was statistically significant(χ2=30.455, 4.386, 4.324, 4.386,0.000, 4.324, P<0.05). Diet, exercise, and blood glucose monitoring compliance were(4.21±0.18)points,(4.25±0.16)points,and(4.35±0.15)points higher than the control group(2.68±0.24)points and(2.61±0.23)points,(2.64±0.25)points, the difference was statistically significant(t=39.504, 45.340, 45.432, P<0.05). Conclusion The application of continuous nursing after specialist outpatients in pregnant women with gestational diabetes can reduce the rate of cesarean section, improve maternal and infant outcomes, and have high clinical value.更多还原