摘要
目的研究分析在妊娠期糖尿病患者中采取基于多学科糖尿病护理团队的应用效果。方法选取2021年3月—2022年8月于中国人民解放军联勤保障部队第910医院就诊的94例妊娠期糖尿病患者作为研究对象,按照随机数表法将其划分为观察组(n=47,采取基于多学科糖尿病护理团队管理模式)与对照组(n=47,采取常规管理模式)。对比两组的护理效果。结果干预前,两组患者的FPG、2 hPG和HbA1c水平对比,差异无统计学意义(P>0.05),干预后,两组FPG、2 hPG和HbA1c水平均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的精神健康、活力、社会功能和总体健康得分对比,差异无统计学意义(P>0.05),干预后,两组精神健康、活力、社会功能和总体健康得分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组的巨大儿、新生儿低血糖发生率明显低于对照组,差异有统计学意义(P<0.05),而两组新生儿窘迫、胎膜早破和早产发生率比较,差异无统计学意义(P>0.05)。观察组的巨大儿、新生儿低血糖发生率明显低于对照组,差异有统计学意义(P<0.05),而两组新生儿窘迫、胎膜早破和早产发生率比较,差异无统计学意义(P>0.05)。结论在妊娠期糖尿病患者中采取基于多学科糖尿病护理团队管理模式有着良好的应用效果,有利于患者的血糖控制,改善生活质量和母婴结局。
Objective To study and analyze the application effect of adopting multidisciplinary diabetes care team-based in patients with gestational diabetes mellitus.Methods 94 patients with gestational diabetes who visited the 910th Hospital of the Joint Service Support Force of the People's Liberation Army from March 2021 to August 2022 were selected as the research objects.They were divided into the observation group(n=47,based on the multidisci-plinary diabetes nursing team management model)and the control group(n=47,based on the conventional manage-ment model)according to the random number table method.Compare the nursing outcomes of the two groups.Results Before intervention,there was no statistically significant difference in the levels of FPG,2 hPG,and HbA1c between the two groups of patients(P>0.05).After intervention,the average levels of FPG,2 hPG,and HbA1c in the two groups were lower than before intervention,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the scores of mental health,vitality,social function,and overall health between the two groups of patients(P>0.05).After inter-vention,the scores of mental health,vitality,social function,and overall health in both groups were higher than before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The incidence of hypoglycemia in macrosomia and newborns in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the incidence of neonatal distress,premature rupture of membranes,and premature birth be-tween the two groups(P>0.05).The incidence of hypoglycemia in macrosomia and newborns in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the incidence of neonatal distress,premature rupture of membranes,and premature birth between the two groups(P>0.05).Conclusion The adoption of a multidisciplinary diabetes care team-based management model in gestational diabetes patients has good application effects,which is beneficial to pa-tients'glycemic control and improves quality of life and maternal and infant outcomes.
作者
陈丽珍
孔国爱
谢雪玲
王薇
CHEN Lizhen;KONG Guoai;XIE Xueling;WANG Wei(Department of Obstetrics and Gynecology,the 910th Hospital of the PLA Joint Logistic Support Force(PLA),Quan-zhou,Fujian Province,362000 China)
出处
《糖尿病新世界》
2023年第9期131-135,共5页
Diabetes New World Magazine
关键词
多学科糖尿病护理团队
妊娠期糖尿病
血糖水平
Multidisciplinary diabetes care team
Gestational diabetes mellitus
Blood glucose level
