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目的为改善妊娠不良结局,观察全程护理干预对高龄妊娠期糖尿病(GDM)产妇心理状态及妊娠结局的影响。方法选择2014年1月—2016年2月于漯河市第三人民医院产检且住院分娩的高龄GDM产妇177例作为研究对象,将所有患者随机分为对照组(86例)和观察组(91例)。给予对照组产科常规干预,给予观察组全程护理干预模式。观察两组干预后心理状态及妊娠结局。结果干预后,观察组焦虑及抑郁评分均低于对照组评分,差异有统计学意义(P<0.05);观察组羊水过多、产后出血、巨大儿及妊高征等发生率低于对照组的发生率,差异有统计学意义(P<0.05)。结论全程护理干预有助于调节高龄GDM产妇心理状态,降低妊娠并发症,改善妊娠不良结局,临床普及价值高。
Objective To improve the poor outcome of pregnancy and observe the effect of full-time nursing intervention on the psychological status and pregnancy outcome of pregnant women with gestational diabetes mellitus (GDM). Methods A total of 177 elderly GDM maternal births and deliveries were collected from January 2014 to February 2016 in Third People’s Hospital of Luohe City. All patients were randomly divided into control group (86 cases) and observation group (91 cases ). Give the control group regular obstetric intervention, give the observation group full care intervention mode. After treatment, the psychological status and pregnancy outcome were observed. Results After intervention, anxiety and depression scores in the observation group were lower than those in the control group (P <0.05). The incidence of polyhydramnios, postpartum hemorrhage, macrosomia and pregnancy-induced hypertension in the observation group was lower than that in the control group The difference was statistically significant (P <0.05). Conclusion Nursing intervention can help to adjust the psychological status of elderly GDM maternal, reduce pregnancy complications, improve the adverse pregnancy outcomes, and have high clinical value.