论文部分内容阅读
目的观察一体化系统管理对妊娠糖尿病(GDM)孕妇疾病知识及治疗依从性的影响。方法选取孕12~28周的妊娠糖尿病患者160例为研究对象,随机分为观察组和对照组,每组80例。对照组采用常规性护理干预,观察组采用一体化系统管理。观察2组患者疾病知识、治疗依从性及妊娠结局。结果观察组治疗依从率、疾病知识知晓率(GDM疾病知识、产科知识、血糖自我监测、胎动胎心监测、新生儿护理)高于对照组,差异有统计学意义(P<0.01或P<0.05);观察组妊娠结局好于对照组,差异有统计学意义(P<0.01或P<0.05)。结论一体化系统管理不仅能提高GDM患者疾病知识知晓率及治疗依从性,而且有助于改善患者预后,降低不良妊娠结局的发生率,值得临床推广应用。
Objective To observe the effect of integrated system management on the disease knowledge and treatment compliance in pregnant women with gestational diabetes mellitus (GDM). Methods 160 cases of gestational diabetes mellitus with gestational age from 12 to 28 weeks were selected as study object and randomly divided into observation group and control group with 80 cases in each group. The control group received routine nursing intervention, and the observation group adopted the integrated system management. Two groups of patients with disease knowledge, treatment compliance and pregnancy outcome. Results The compliance rate, awareness of disease knowledge (knowledge of GDM disease, obstetric knowledge, self-monitoring of blood glucose, fetal heart rate monitoring, neonatal care) in the observation group were significantly higher than those in the control group (P <0.01 or P <0.05 ). The pregnancy outcome in the observation group was better than that in the control group, with significant difference (P <0.01 or P <0.05). Conclusion Integrated system management can not only improve the awareness of disease knowledge and treatment compliance in GDM patients, but also help to improve the prognosis of patients and reduce the incidence of adverse pregnancy outcomes, which is worthy of clinical application.