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目的探讨健康教育护理干预对妊娠糖尿病初产妇妊娠结局的影响。方法选取佛山市第一人民医院2014年6月—2016年9月收治的妊娠糖尿病初产妇88例,采用随机数字表法分为对照组与观察组,每组44例。对照组初产妇予以常规产前检查,观察组初产妇在对照组基础上予以健康教育护理干预,比较两组初产妇空腹血糖、餐后2 h血糖、体质量增加量、妊娠结局、剖功率。结果干预后观察组初产妇空腹血糖及餐后2 h血糖水平、体质量增加量低于对照组(P<0.05)。观察组初产妇不良妊娠结局发生率为9.09%,低于对照组的18.18%(P<0.05);观察组初产妇剖宫产率为29.55%,低于对照组的47.73%(P<0.05)。观察组新生儿不良结局发生率为4.55%,低于对照组的11.36%(P<0.05)。结论健康教育护理干预能够有效控制妊娠糖尿病初产妇血糖及体质量,有利于改善初产妇的妊娠结局,保证新生儿的安全。
Objective To investigate the effect of health education and nursing intervention on the pregnancy outcome of primiparae of gestational diabetes. Methods 88 cases of primiparae of gestational diabetes admitted to Foshan First People’s Hospital from June 2014 to September 2016 were randomly divided into control group and observation group with 44 cases in each group. The primiparous women in the control group were given routine prenatal care. The primipara in the observation group was given health education and nursing intervention on the basis of the control group. The fasting blood glucose, postprandial blood glucose at 2 h, increase in body mass, pregnancy outcome and dissection power were compared between the two groups. Results After fasting, fasting blood glucose and postprandial blood glucose level at 2 h were significantly lower in observation group than in control group (P <0.05). The incidence of unintended pregnancy in the observation group was 9.09%, which was lower than 18.18% in the control group (P <0.05). The rate of cesarean section in the observation group was 29.55%, which was 47.73% lower than that in the control group (P <0.05) . The incidence of neonatal adverse outcomes in the observation group was 4.55%, which was lower than that in the control group (11.36%, P <0.05). Conclusion Health education nursing intervention can effectively control the blood glucose and body weight of primipara of gestational diabetes, which is beneficial to improve the pregnancy outcome of primipara and ensure the safety of newborn.