产科临床护理路径对妊娠期糖尿病孕妇的实施效果

摘要

Objective To explore the intervention effect of obstetric clinical nursing pathway for women with gestational diabetes mellitus.Methods The control group were routinely cared and the observation group were cared with obstetric clinical nursing pathway.The nursing effects were compared between these two groups.Results The health-knowledge-commanded rate,nursing satisfaction score,and hospital stay were 96.4％,(93.5 ± 2.4),and (8.2 ± 1.3) d in the observation group and were79.8％,(78.2 ± 2.5),and (8.2 ± 1.3) d in the control group,with statistical differences between these two groups (x 2=40.463,t=-ll.040,t=-32.783,P ＜ 0.01).The fasting and postprandial 2 h blood glucose levels were (4.9 ± 0.3) mmol / L and (6.3 ± 2.4) mmol / L in the observation group and were (6.3 ± 0.2) mmol / L and (8.8 ± 2.6) mmol / L in the control group,with statistical differences (P ＜ 0.01).Conclusions Obstetric clinical nursing pathway for women with gestational diabetes mellitus is helpful in increasing health-knowledge-commanded rate,controlling blood glucose level,shortening hospital stay,and increasing the patients' nursing satisfaction degree.%目的 探讨产科临床护理路径对妊娠期糖尿病孕妇的干预作用.方法 对照组行常规护理,观察组给予产科临床护理路径,比较两组护理效果.结果 观察组健康知识掌握率为96.4％、护理满意度评分为(93.5±2.4)分、住院天数为(8.2±1.3)d;对照组健康知识掌握率为79.8％、护理满意度评分(78.2±2.5)分、住院天数为(8.2±1.3)d;两组比较,x 2/t分别为11.040、40.463、32.783,P＜0.01.观察组的空腹血糖和餐后2h血糖分别为(4.9±0.3)mmol/L、(6.3±2.4)mmol/L,均低于对照组的(6.3±0.2)mmol/L、(8.8±2.6) mmol/L,组间比较差异具体统计学意义,P＜0.01.结论 通过对GDM患者开展产科临床护理路径管理,有利于进一步提高患者健康知识掌握率,从而有助于控制血糖水平,减少住院天数,并可提高患者护理满意度.