循证护理在妊娠期糖尿病护理中作用探讨.docVIP

循证护理在妊娠期糖尿病护理中作用探讨 　　[摘要] 目的 对循证护理在妊娠期糖尿病护理中的作用进行分析和探讨。方法 以该院2016年2月―2017年2月期间收治的100例妊娠期糖尿病患者为研究对象，根据随机双盲原则对患者分组，观察组50例，对其进行循证护理；对照组50例，对其进行常规护理，比较两组患者临床护理效果。结果 相较于对照组产妇，观察组产妇护理结束后的空腹血糖、餐后2 h血糖水平以及妊娠期间各项并发症的总发生率均更低（P0.05）；此外，观察组新生儿各种不良妊娠结局的发生率较对照组新生儿明显更低（P0.05）。结论 循证护理在妊娠期糖尿病的护理中有积极作用，是改善产妇分娩质量、防范妊娠并发症、提高新生儿娩出质量的有力途径，推荐使用。 　　[关键词] 循证护理；妊娠期；糖尿病；护理 　　[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）12（a）-0015-03 　　[Abstract] Objective This paper tries to analyze and discuss the role of evidence-based nursing in the nursing of gestational diabetes. Methods 100 cases of gestational diabetes patients admitted to this hospital from February 2016 to February 2017 were selected as the research object， according to the principle of random double blind， patients were divided into two groups， 50 cases in the observation group， the evidence-based nursing； 50 cases in the control group， routine nursing care， compared two groups of patients with clinical nursing effect. Results Compared with the control groups， the total incidence of 2 h fasting blood glucose， blood glucose levels were observed after the end group of maternal care during pregnancy and the complications were lower（P0.05）； in addition， all the newborns of the observation group the incidence of adverse pregnancy outcomes compared with the control group， neonates were significantly lower （P0.05）. Conclusion Evidence-based nursing plays a positive role in nursing of gestational diabetes， improving maternal quality and preventing the complications of pregnancy， which is a powerful way to improve the quality of newborn delivery， so it is recommended. 　　[Key words] Evidence-based nursing； Pregnancy； Diabetes； Nursing 　　妊娠期糖尿病在产科较为多发，指在妊娠期间首次发现的以糖耐量减低为主要表现的临床病症，常见于妊娠中晚期，发病率在7%～10%左右[1]。妊娠期糖尿病的出现可给产妇妊娠带来严重负面影响，据报道，相较于未合并糖尿病的正常产妇，妊娠期糖尿病产妇发生巨大儿、胎儿窘迫等不良妊娠结局的发生率明显更高，对此，临床应加强对于此类患者的临床护理，争取通过有效、准确的护理干预措施，来帮助患者改善妊娠结局[2]。基于此，该研究以该院2016年2月―2017年2月收治的100例妊娠期糖尿病患者为对象，通过分组对两组患者采取不同临床护理模式后发现，给予患者循证护理可获得较常规护理更令人满意的护理效果，现报道如下。 　　1 资料与