循证护理干预对妊娠期糖尿病患者血糖的改善及预后影响

目的探讨妊娠期糖尿病患者给予循证护理干预对于血糖以及改善预后的临床效果。方法选择该院于2018年6月—2019年6月收治的1 080例妊娠期糖尿病患者作为该次实验的研究主体和对象,将其按照数字随机表的方法进行分组,具体分为循证组和常规组,各540例患者。循证组给予循证护理干预,常规组给予常规护理干预,观察并统计两组患者的各项临床资料,并且比较循证组和常规组患者的血糖水平以及预后恢复情况。结果两组护理前的糖化血红蛋白、空腹血糖以及餐后2 h血糖水平并也出差异无统计学意义(P>0.05);护理后循证组的糖化血红蛋白、空腹血糖以及餐后2 h血糖水平均优于常规组,差异有统计学意义(P<0.05)。循证组的自然分娩475例(87.96%),明显高于常规组367例(67.96%),差异有统计学意义(P<0.05)。循证组妊娠并发症发生26例(4.81%),明显低于常规组148例(27.41%),差异有统计学意义(P<0.05)。结论对妊娠期糖尿病患者给予循证护理干预,提高了自然分娩率,有效控制了患者的血糖水平,同时,还能够降低妊娠并发症的发生几率,有利于分娩的顺利进行。

Effect of Evidence-based Nursing Intervention on Blood Glucose Improvement and Prognosis in Patients with Gestational Diabetes

Objective To explore the clinical effects of evidence-based nursing intervention on blood glucose and improving prognosis in patients with gestational diabetes.Methods 1080 gestational diabetes patients admitted in the hospital from June 2018 to June 2019 were selected as the research subjects and objects in this experiment.They were grouped according to the method of digital random table and specifically divided into evidence-based group and conventional group;each group was 540 patients.The evidence-based group was given evidence-based nursing intervention,and the routine group was given routine nursing intervention.The clinical data of the two groups of patients were observed and counted,and the blood glucose levels and prognosis of patients in the evidence-based group and the conventional group were compared.Results The levels of glycated hemoglobin,fasting blood glucose,and 2 h postprandial blood glucose was not statistically significantly different between the two groups(P>0.05).The levels of glycated hemoglobin,fasting blood glucose,and 2 h postprandial blood glucose of the evidence-based group was better than those of the conventional group(P<0.05),which indicates a statistically significant difference.The natural delivery cases in the evidence-based group was 475 cases(87.96%),which was significantly higher than that in the conventional group 367 cases(67.96%),and the difference was statistically significant(P<0.05).There were 26 cases of pregnancy complications in the evidence-based group(4.81%),which was significantly lower than 148 cases in the conventional group(27.41%),and the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing intervention for gestational diabetic patients can increase the natural delivery rate and effectively control the blood glucose level of the patients.At the same time,it can reduce the incidence of pregnancy complications and is conducive to the smooth progress of delivery.