首诊-复诊-住院-产后管理的模块化护理干预在妊娠期糖尿病患者围产期中的应用

doi:10.3969/j.issn.1000-8535.2022.04.013

广州医药 ›› 2022, Vol. 53 ›› Issue (4): 56-59.DOI: 10.3969/j.issn.1000-8535.2022.04.013

首诊-复诊-住院-产后管理的模块化护理干预在妊娠期糖尿病患者围产期中的应用

崔斐

郑州大学第三附属医院产科(1)病区(郑州 450000)

收稿日期:2021-07-15 出版日期:2022-07-20 发布日期:2022-08-03
通讯作者: 崔斐,E-mail:hsxhmx@163.com

Application of modularized nursing intervention in perinatal period of patients with gestational diabetes mellitus: first visit, subsequent visit, hospitalization and postpartum management

CUI Fei

Department of Obstetrics (1), the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China

Received:2021-07-15 Online:2022-07-20 Published:2022-08-03

摘要/Abstract

摘要： 目的观察首诊-复诊-住院-产后管理的模块化护理干预对妊娠期糖尿病(GDM)围产期患者的影响。方法回顾性收集我院2020年1月—2021年1月GDM患者91例,按照患者意愿及不同护理方案分组。常规护理组45例予以常规护理,模块化管理组46例在常规护理基础上予以首诊-复诊-住院-产后管理的模块化护理。比较2组患者首诊时、分娩后血糖控制水平、围产期患者并发症发生情况、围产期新生儿并发症发生情况、护理工作满意度。结果分娩前模块化管理组空腹血糖、餐后2 h血糖低于常规护理组(P＜0.05);模块化管理组围产期患者并发症发生率8.70%(4/46)低于常规护理组24.44%(11/45)(P＜0.05);模块化管理组围产期新生儿并发症发生率6.52%(3/46)低于常规护理组22.22%(10/45)(P＜0.05);模块化管理组护理工作满意度93.48%(43/46)高于常规护理组77.78%(35/45)(P＜0.05)。结论首诊-复诊-住院-产后管理的模块化护理干预可改善GDM患者的血糖水平,降低围产期患者及新生儿并发症发生率,同时能提升患者护理工作满意度。

关键词: 妊娠期糖尿病, 模块化护理, 围产期, 并发症, 血糖水平

Abstract: Objective To observe the effect of modularized nursing intervention on perinatal patients with gestational diabetes mellitus (GDM), including first visit, subsequent visit, hospitalization and postpartum management. Methods Ninety-one patients with GDM in our hospital from January 2020 to January 2021 were retrospectively grouped according to patients' wishes and different nursing plans, and their data were collected. Forty-five patients in the routine nursing group received routine nursing, and 46 patients in the modular management group received modularized nursing in addition to the routine nursing, including first visit, subsequent visit, hospitalization and postpartum management. The blood glucose level at the first visit and after delivery, the incidence of complications in perinatal patients, the incidence of complications in perinatal neonates, and the satisfaction of nursing work were compared between two groups. Results Before delivery, FPG and 2hPG levels in modularized management group were lower than those in routine nursing group (P<0.05). The incidence of perinatal complications in modularized management group was 8.70% (4/46), lower than that in routine nursing group (24.44%, 11/45, P<0.05). The incidence of neonatal complications in the modularized management group was 6.52% (3/46), lower than that in the routine nursing group (22.22%, 10/45, P<0.05). The nursing job satisfaction rate of modular management group was 93.48% (43/46), higher than that of routine nursing group (77.78%, 35/45, P<0.05). Conclusions Modularized nursing intervention of first visit, subsequent visit, hospitalization and postpartum management could improve the blood glucose level of patients with GDM, reduce the incidence of complications in perinatal patients and neonates, and improve patients' satisfaction with nursing work.

Key words: gestational diabetes mellitus, modular nursing, perinatal, complications, blood glucose levels

崔斐. 首诊-复诊-住院-产后管理的模块化护理干预在妊娠期糖尿病患者围产期中的应用[J]. 广州医药, 2022, 53(4): 56-59.

CUI Fei. Application of modularized nursing intervention in perinatal period of patients with gestational diabetes mellitus: first visit, subsequent visit, hospitalization and postpartum management[J]. Guangzhou Medical Journal, 2022, 53(4): 56-59.

参考文献

[1] 曾东贵,曾运红,麦英金,等.远程家庭护理计划在妊娠期糖尿病患者健康管理中的应用[J].齐鲁护理杂志,2021,27(9):23-26.
[2] 王红梅,余冬香,黄林美.双模块匹配护理管理在妊娠期糖尿病病人中的应用研究[J].全科护理,2021,19(1):56-58.
[3] 张蓓,邬俏璇,杨晓红,等.知-信-行模式产后干预管理对妊娠期糖尿病妇女产后糖尿病的影响[J].护理实践与研究,2021,18(8):1207-1209.
[4] 李磊.模块化康复护理对胫骨平台骨折患者功能恢复及疼痛改善的影响[J].国际医药卫生导报,2019,25(6):989-991.
[5] 刘高炎,宋宏.个体化饮食联合运动指导对孕前肥胖者妊娠期糖尿病预防效果及母婴结局的影响[J].全科护理,2021,19(9):1259-1263.
[6] 林太妹,冼小燕,赵丽燕.孕期健康行为改变配合饮食管理对妊娠期糖尿病高危孕妇的影响[J].齐鲁护理杂志,2021,27(4):139-141.
[7] 高娟,李娟.孕期日记结合正念减压疗法对妊娠期糖尿病患者知信行及自我管理行为的影响[J].临床医学研究与实践,2021,6(12):176-179.
[8] 梁丽萍,傅育文,郑聪霞.妊娠期糖尿病患者孕前体质指数和血糖水平与膳食营养摄入的相关性[J].中国妇幼保健,2021,36(3):540-542.
[9] 张敏,童益慧.专人模块化综合管理在儿科新型冠状病毒肺炎隔离病房应用的护理体会[J].全科医学临床与教育,2020,18(7):663-665.
[10] 陈芳,李小华,周玉静,等.模块化康复训练配合协同护理在脑卒中恢复期患者中的应用[J].护理实践与研究,2020,17(13):41-43.
[11] 张丽君. “手机APP模块化管理”在淋巴瘤化疗患者护理过程中的应用效果[J].护理实践与研究,2020,17(24):84-86.
[12] 卫晓静,李黎明.模块化护理干预对ICU重症肺炎患者的影响[J].齐鲁护理杂志,2020,26(11):43-45.

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首诊-复诊-住院-产后管理的模块化护理干预在妊娠期糖尿病患者围产期中的应用

Application of modularized nursing intervention in perinatal period of patients with gestational diabetes mellitus: first visit, subsequent visit, hospitalization and postpartum management

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