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健康教育路径在糖尿病剖宫产产妇术中的护理效果观察(1)
http://www.100md.com 2020年10月1日 《糖尿病新世界》 202019
     [摘要] 目的 讨论在糖尿病剖宫产产妇术中应用健康教育路径进行护理干预的临床应用价值。 方法 随机抽取2018年2月—2019年7月收治的糖尿病产妇98例作为研究对象,用随机数字表法将所有患者分为两组,其中参照组(n=49例)患者使用常规护理方案,观察组(n=49例)患者基于参照组增加运用健康教育路径。比较两组的血糖水平、妊娠结局、围生儿结局。结果 较之参照组,观察组的血糖水平呈现明显的改善趋势,差异有统计学意义(P<0.05);观察组在妊娠结局及围生儿结局等方面的表现更佳,差异有统计学意义(P<0.05)。结论 在糖尿病剖宫产产妇术中应用健康教育路径进行护理干预,有助于获得良好的妊娠结局,同时能够有效削减孕妇及围产儿的并发症发生率,确保母婴安全。

    [关键词] 健康教育路径;糖尿病;剖宫产;护理效果

    [中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)10(a)-0122-03

    [Abstract] Objective To discuss the clinical application value of nursing intervention by applying health education pathways in diabetic cesarean section women. Methods 98 cases of diabetic women admitted from February 2018 to July 2019 were randomly selected as the research objects. All the patients were divided into two groups using a random number table method, among which patients in the reference group(n=49 cases) used conventional nursing programs; the observation group(n=49 cases) patients increased the use of health education routes based on the reference group. The blood glucose level, pregnancy outcome and perinatal outcome of the two groups were compared. Results Compared with the reference group, the blood glucose level of the observation group showed a significant improvement trend, the difference was statistically significant(P<0.05); the observation group performed better in terms of pregnancy outcome and perinatal outcome, the difference was statistically significant(P<0.05). Conclusion The application of health education pathway for nursing intervention in diabetic cesarean section women can help to obtain a good pregnancy outcome. At the same time, it can effectively reduce the incidence of complications of pregnant women and perinatal infants and ensure the safety of mothers and babies.

    [Key words] Health education path; Diabetes; Cesarean section; Nursing effect

    糖尿病是一种终身性的慢性病症,具有代谢进程缓慢的特征,在临床诊治过程中通常将变更饮食结构等作为首要诊治及预防方案,由于糖尿病患者长期处于高血糖水平的状态下,致使患者体内的代谢功能发生紊乱,并引发一系列的不良症状,对患者的身体健康及心理健康造成了雙重影响[1]。妊娠期糖尿病是一种孕妇中较为常见且多见的并发症,诱发因素以妊娠期机体糖代谢异常为主,机体的糖代谢功能发生异常将会对机体的耐糖量造成一定的干扰,致使其呈现明显的减弱趋势[2]。妊娠期糖尿病患病人群近年来不断扩大,若患者未获得及时、有效的医疗救治处理,则将对母婴安全造成一定的威胁性,严重情况下可能出现难产、胎儿宫内窘迫等情形[3]。该次研究将着重讨论在糖尿病剖宫产产妇术中应用健康教育路径进行护理干预的临床应用价值。现分析2018年2月—2019年7月间该院收治的糖尿病产妇98例的临床资料,报道如下。

    1 资料与方法

    1.1 一般资料

    随机抽取该院收治的糖尿病产妇98例作为研究对象,用随机数字表法将所有患者分为两组。参照组49例,年龄均数为(32.19±2.93)岁;妊娠时长均数为(31.28±1.21)周。观察组49例,年龄均数为(31.29±2.55)岁;妊娠时长均数为(30.52±1.30)周。入选患者均为单胎妊娠,不存在精神类病症、免疫系统病症、意识交流障碍、脏器器官严重病症等。, http://www.100md.com(高珍珍 应舒琴 谢明静)
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