[摘要] 目的 研究在产程中使用不同护理模式对糖尿病初产妇分娩质量的影响。方法 选取2019年1—8月在该院行阴道分娩的76例糖尿病初产妇，用数字随机表法分组。对照组(40例)产妇接受常规护理，观察组(36例)产妇接受一对一助产士陪产护理，对比干预效果。结果 观察组产妇的总产程时间更短，尤其第一产程时间显著低于对照组，观察组行产程监测中有效控制血糖的产妇比例显著高于对照组，且观察组产妇的产时出血量少于对照组;两组的新生儿窒息发生率及新生儿出生后0.5 h血糖值差异无统计学意义(P>0.05)。结论 糖尿病初产妇接受一对一助产士陪产护理可缩短产程，同时有利于产妇产程的血糖控制，减少产时出血，有益于母婴健康。

    [关键词] 常规护理;一对一助产士陪产;糖尿病;初产妇;分娩质量

    [中圖分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)06(a)-0173-03

    [Abstract] Objective To study the effect of using different nursing models on the delivery quality of diabetic primiparas during labor. Methods Seventy-six diabetic primiparas who had vaginal delivery in the hospital from January 2019 to August 2019 were selected and grouped by random table method. The women in the control group (40 cases) received routine nursing ......