King达标理论用于妊娠糖尿病孕妇院外管理临床效果.docVIP

King达标理论用于妊娠糖尿病孕妇院外管理临床效果 　　[摘要] 目的 探?King达标理论用于妊娠糖尿病孕妇院外管理的临床效果。 方法 选取2015年6月～2016年6月我院收治的100例妊娠糖尿病孕妇，按照随机数字表法将其平均分为对照组及观察组，每组50例。对照组患者采用一般护理模式指导其院外管理，观察组患者采用King达标理论指导其院外管理。观察并记录两组患者入院时一般情况（包括年龄、孕周、妊娠类型、诊断、体重指数、文化程度、医疗形式、月收入等）、干预前后血糖控制情况、HbAlc以及分娩结局等。 结果 两组孕妇年龄、孕周、妊娠类型、诊断、体重指数、文化程度、医疗形式、月收入比较，差异无统计学意义（P0.05），具有可比性。两组孕妇干预前血糖控制情况比较无明显差异（P0.05），两组孕妇干预前后血糖控制水平比较差异明显（P0.05），干预后两组患者HbAlc明显降低（P0.05），两组孕妇妊娠期高血压、剖宫产、胎膜早破、巨大儿发生情况明显少于对照组，差异有统计学意义（P0.05）。 结论 King达标理论能有效改善妊娠期糖尿病患者院外血糖控制情况，改善分娩结局，值得临床广泛推广。 　　[关键词] 妊娠糖尿病；院外管理；分娩结局；血糖控制 　　[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2018）07-0157-04 　　[Abstract] Objective To explore and analyze the clinical effect of Kings compliance theory on the management outside the hospital for pregnant women with gestational diabetes mellitus. Methods A total of 100 pregnant women with gestational diabetes who were admitted to our hospital from June 2015 to June 2016 were selected. In accordance with the random number table method， the patients were evenly divided into the control group and the observation group， with 50 cases in each group. Patients in the control group were given general nursing mode to guide their management outside the hospital， and patients in the observation group were given Kings compliance theory to guide their management outside the hosptial. The general situation upon admission to the hospital（including age， gestational weeks， type of pregnancy， diagnosis， body mass index， educational level， medical form， monthly income， etc.）， blood glucose control before and after intervention， HbAlc and delivery outcomes of two groups of patients were observed and recorded. Results The age， gestational weeks， type of pregnancy， diagnosis， body mass index， educational level， medical forms， monthly income in both groups of pregnancy women were not significantly different（P0.05）， which were comparable. The blood glucose control was not significantly different before intervention in both groups （P0.05）， and the blood glucose cont