妊娠合并糖尿病患者围产期护理干预效果观察.docxVIP

妊娠合并糖尿病患者围产期护理干预效果观察  标题：妊娠合并糖尿病患者围产期护理干预效果观察 摘要：目的：探讨妊娠合并糖尿病患者围产期护理干预的效果。方法：选取2018年1月-2019年12月在我院住院分娩的妊娠合并糖尿病患者60例作为研究对象，分别按照随机数字表法分为对照组和观察组，各30例，对照组实施常规临床护理，观察组采用个性化护理及教育干预。对比两组患者产程、胎儿宫内窘迫、新生儿出生体重、母婴并发症发生率等指标。结果：观察组产程时间短于对照组(P0.05)，观察组胎儿宫内窘迫和新生儿出生体重明显低于对照组(P0.05)且母婴并发症发生率显著降低(P0.05)。结论：妊娠合并糖尿病患者围产期个性化护理及教育干预能够显著地促进患者的产程、胎儿宫内环境、新生儿出生体重等方面的恢复，提高母婴并发症的发生率，具有临床价值和推广价值。 关键词：妊娠合并糖尿病；个性化护理；教育干预；产程；胎儿宫内环境；新生儿出生体重 Introduction糖尿病是一种常见的慢性代谢性疾病，其在妊娠期间的出现会对孕妇和胎儿的健康产生不同程度的影响。妊娠合并糖尿病患者胎儿宫内生长发育迟缓、分娩难度大、高BMI等因素增加了剖宫产率、新生儿发生并发症的机率，给产妇和新生儿的健康带来了严重的威胁。因此，对妊娠期合并糖尿病患者进行规范、科学的产前、产期、产后的个性化的护理干预措施，能够有效地降低并发症的发生率，提高胎儿出生健康率、母婴生命安全，保障患者健康及质量。 Materials and methods1.1 General information60 patients with gestational diabetes mellitus who delivered in our hospital from January 2018 to December 2019 were selected as the research objects, and were randomly divided into two groups, observation group and control group, with 30 cases in each group. There were no statistically significant differences in age, BMI, gravidity, gestational weeks, and other basic information between the two groups (P0.05).1.2 Control groupThe control group received routine clinical nursing interventions, including monitoring blood glucose, blood pressure, etc., providing necessary diet guidance and exercise guidance, and obstetricians were responsible for the delivery process. 1.3 Observation groupOn the basis of routine nursing interventions, the observation group adopted personalized nursing and education interventions, which were carried out by a specialized nurse. According to the blood glucose level and dietary habits of each patient, individualized blood glucose control program and diet guidance were formulated, and necessary health education was provided to the patients and their family members, emphasizing the importance of blood glucose monitoring, dietary guidance and medication compliance, and exercise guidance.1.4 Observation indicatorsObservation indicators included the duration of labor, fetal