连续护理对妊娠期糖尿病患者妊娠结局的干预效果研究

目的探讨连续护理对妊娠期糖尿病（GDM）患者妊娠结局的干预效果。方法选取在产科门诊经OGTT试验确诊为GDM，并在我院产检、分娩的患者160例，分为干预组和对照组，每组各80例。对照组采用传统护理；干预组在传统护理的基础上采用个体化连续护理干预方案，合理应用教育指导、饮食疗法、适度运动锻炼、血糖监测和用药指导等干预，并对出院后的患者进行全程管理。统计两组孕妇孕期及产后并发症和新生儿并发症的发生率以及产后42d血糖控制情况，作为评价GDM患者妊娠结局的观察指标。在完成全程管理、结束本次连续护理的研究计划时，让患者自行填写糖尿病患者生存质量特异性量表（DQOL）。结果两组孕妇孕期及产后并发症和新生儿并发症发生率、血糖控制情况以及DQOL结果显示，干预组均显著优于对照组。结论连续护理应用于GDM患者，可有效提高妊娠质量，改善妊娠结局。

Study on the intervention effect of continuous nursing on the pregnancy outcome of patients with gestational diabetes meUitus

Objective To study the intervention effect of continuous nursing on the pregnancy outcome for pa- tients with gestational diabetes mellitus（GDM）. Method 160 160 patients diagnosed as GDM by OGTT test in ob- stetrics clinic and took prenatal examination and produced in our hospital were selected and randomly divided into in- tervention and control group, 80 cases in each group. Patients in control group received traditional nursing; patients in intervention group received individual and continuous nursing intervention based on traditional nursing, reasonable application of education guidance, dietetic treatment, moderate exercise, blood glucose monitoring and medication guidance and so on, and made the whole management of patients after discharge from hospital. The rates of preg- nant, postpartum and neonatal complications and 42 days of postpartum glucose control as the observation index of pregnancy outcomes was evaluated between the two groups. The patients was surveyed with diabetes specific quality of life scale （DQOL） at end of the whole management and continuous nursing research plan. Result Two groups of pregnant women during pregnancy, postpartum and neonatal complications, glycemic control and DQOL results showed that the intervention group was significantly better than that of the control group. Conclusion Continuous nursing for patients with GDM can effectively improve the quality of pregnancy, improve the outcome of pregnancy. Ifs quite practical.