妊娠期糖尿病产妇产时心理护理对分娩结局影响.docVIP

妊娠期糖尿病产妇产时心理护理对分娩结局影响 　　[摘要] 目的 探讨妊娠期糖尿病产妇产时心理护理对分娩结局的影响。方法 选取2015年7月―2017年7月该院收治的妊娠期糖尿病待产妇232例，随机分为2组各116例，观察组给予产时心理护理干预，对照组给予常规产时心理护理，比较分娩结果。结果 观察组自然分娩率为81.9%，并发症发生率为6.0%，与对照组68.1%、16.4%比较差异有统计学意义（P0.05）；观察组产后SAS评分（40.2±4.5）分、SDS评分（36.8±4.2）分明显优于对照组（P0.05）。结论 针对妊娠期糖尿病产妇产时进行必要的心理护理，可有效改善分娩结局，值得应用。 　　[关键词] 妊娠期糖尿病；产时；心理护理；分娩结局 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）10（a）-0121-02 　　Effect of Mental Nursing During Labor on the Delivery Outcome of Delivery Women with Gestational Diabetes 　　XIAO Xin-hua 　　Labor Room， Jinlin Maternal and Child Healthcare Hospital， Changchun， Jilin Province， 130000 China 　　[Abstract] Objective To study the effect of mental nursing during labor on the delivery outcome of delivery women with gestational diabetes. Methods 232 cases of delivery women with gestational diabetes admitted and treated in our hospital from July 2015 to July 2017 were selected and randomly divided into two groups with 116 cases in each， the observation group were given the mental nursing intervention， while the control group were given the routine nursing， and the delivery results were compared. Results The natural labor rate and incidence rate of complications in the observation group and in the control group were respectively 81.9%， 6.0% and 68.1%， 16.4%， and the differences were statistically significant（P0.05）， and the SAS score， SDS score in the observation group were respectively （40.2±4.5）points and （36.8±4.2）points after delivery， which were obviously better than those in the control group（P0.05）. Conclusion The necessary mental nursing in delivery women with gestational diabetes can effectively improve the delivery outcome， and it is worth application. 　　[Key words] Gestational diabetes； During labor； Mental nursing； Delivery outcome 　　妊娠期糖尿病（GDM）是?R床常见的妊娠期并发症。据统计[1]，DGM在我国发生率达1%～9%，且近年来不断呈升高趋势。DGM作为妊娠期发生的不同程度的糖代谢异常性疾病，不仅影响孕产妇的生活质量，对胎儿和妊娠结局也带来严重影响。大量研究表明[2]，GDM对妊娠及结局存在着诸多影响，尤其产妇分娩时生理和心理都会产生剧烈刺激，直接影响着产妇的分娩结局。因此，产妇产时及时的病情评估和心理护理，是确保分娩顺利进行，改