张玉云

[摘要] 目的 分析圍产期综合护理并心理护理对妊娠糖尿病患者的护理效果。方法 选取该院于2014年5月—2018年6月收治的妊娠糖尿病患者100例，将患者随机的分为实验组和对照组，每组50例，对照组患者给予常规的护理，实验组在常规护理的基础上给予综合护理并心理护理。对两组患者的空腹血糖值、餐后2 h血糖值、对医师的满意度、焦虑状况的评分、手术的准备时间、手术时间、术后并发症、宫内窘迫胎儿、巨大儿的发生率和新生儿Apgar评分进行比较。结果 实验组患者的空腹血糖值、餐后2 h血糖值、患者焦虑状况的评分均较对照组低，对比差异有统计学意义，且实验组患者对医师的满意度（94.00%）明显高于对照组（64.00%），两组差异有统计学意义（P<0.05），并发症的发生率，实验组为（8%），对照组为（50%），实验组术后并发症的发生率明显低于对照组，两组对比差异有统计学意义（P<0.05）。实验组患者的新生儿Apgar评分明显高于对照组患者，两组对比差异有统计学意义（P<0.05）。结论 围产期给予妊娠糖尿病患者综合护理并心理护理具有较好的临床效果，应在临床中推广。

[关键词] 围产期；妊娠糖尿病；综合护理；心理护理

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）08（a）-0001-04

Observation on Nursing Effect of Comprehensive Nursing During the Perinatal Period Combined with Mental Nursing on the Patients with Gestational Diabetes

ZHANG Yu-yun

Department of Gynecology and Obstetrics， Rugao Fourth Peoples Hospital， Rugao， Jiangsu Province， 226511 China

[Abstract] Objective To analyze the nursing effect of comprehensive nursing during the perinatal period combined with mental nursing on the patients with gestational diabetes. Methods 100 cases of patients with gestational diabetes admitted and treated in our hospital from May 2014 to June 2018 were selected and randomly divided into two groups with 50 cases in each， the control group used the routine nursing， while the experimental group used the comprehensive nursing combined with mental nursing， and the fasting blood glucose value， postprandial 2 h blood glucose value， satisfactory degree to the physicians， anxiety score， operative preparation time， operative time， postoperative complications， incidence rates of intrauterine fetal distress and giant babies， and neonatal Apgar score were compared between the two groups. Results The fasting blood glucose， postprandial 2 h blood glucose value， and anxiety score in the experimental group were lower than those in the control group， and the differences were statistically significant， and the satisfactory degree of physicians in the experimental group was obviously higher than that in the control group （94.00% vs 64.00%）， and the difference was statistically significant（P<0.05）， and the incidence rate of complications in the experimental group and in the control group was respectively 8.00% and 44.00%， and the incidence rate of complications after surgery in the experimental group was obviously lower than that in the control group， and the difference between groups was statistically significant（P<0.05）， and the neonatal Apgar score in the experimental group was obviously higher than that in the control group， and the difference was statistically significant（P<0.05）. Conclusion The clinical effect of comprehensive nursing during the perinatal period combined with mental nursing in the patients with gestational diabetes is better， which can be promoted in clinic.

[Key words] Perinatal period； Gestational diabetes； Comprehensive nursing； Mental nursing

妊娠糖尿病是女性妊娠期间由于葡萄糖的耐量异常或者代谢异常而引起的内分泌功能的紊乱，进而引起一系列的生理改变，如引起孕妇妊娠期血压升高、羊水过多、巨大儿、流产以及胎儿窘迫等[1]。因此对妊娠期糖尿病患者及时有效控制血糖具有非常重要的作用。对2014年5月—2018年6月来该院治疗的100例患者分别给予了常规护理以及综合护理并心理护理，现报道如下。

1 资料与方法

1.1 一般资料

选取在该院治疗的100例妊娠糖尿病患者，所有的患者均自愿参与实验，随机将患者分为实验组和对照组，每组50例。实验组患者年龄为21～42岁，孕周为29～40周，对照组患者年龄为20～41岁，孕周为30～41周。……