专科护士实践模式对妊娠期糖尿病孕妇妊娠结局的影响

发布时间：2018-12-31 20:25

【摘要】：目的探讨专科护士实践模式的可行性及其对妊娠期糖尿病孕妇妊娠结局的影响。方法将577例妊娠期糖尿病孕妇按时间段分为对照组323例,干预组254例。对照组在常规产检时接受血糖管理,干预组在常规产检的基础上,采用妊娠期糖尿病专科护士实践模式对其进行全程管理。比较两组妊娠结局。结果干预组胰岛素使用率,患者入院次数和住院时间显著少于或短于对照组(均P0.01)。两组孕妇的分娩孕周、分娩方式、整个孕期体质量增长比较,差异无统计学意义(均P0.05)。在新生儿方面,新生儿出生时体质量、巨大儿、新生儿低血糖发生率结局指标比较,差异无统计学意义(均P0.05)。结论妊娠期糖尿病专科护士实践模式可行;通过该模式可降低胰岛素使用率,减少入院次数和住院天数,从而可减少医疗开支。
[Abstract]:Objective to explore the feasibility of the practice model of specialized nurses and its influence on pregnancy outcome of pregnant women with gestational diabetes mellitus (GDM). Methods 577 pregnant women with gestational diabetes mellitus were divided into control group (n = 323) and intervention group (n = 254). The control group received blood glucose management while the intervention group adopted the practice model of gestational diabetes mellitus specialist nurses to manage the whole course of gestational diabetes mellitus on the basis of routine birth examination. Pregnancy outcomes were compared between the two groups. Results the insulin utilization rate, admission times and hospitalization time in the intervention group were significantly lower than those in the control group (all P 0.01). There was no significant difference between the two groups (P0.05). There was no significant difference in neonatal body mass, macrosomia and neonatal hypoglycemia outcome (P0.05). Conclusion the practical model of gestational diabetes mellitus specialist nurses is feasible, which can reduce the use of insulin, reduce the number of admission and hospital stay, and thus reduce the medical expenses.
【作者单位】：复旦大学附属妇产科医院产科;复旦大学附属妇产科医院护理部;
【基金】：复旦大学护理科研基金资助项目(FNF201306)
【分类号】：R473.71

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