摘要：目的：探究优质护理联合运动疗法在妊娠糖尿病护理中的应用分析。方法：选取2017年1月-2018年1月在我院进行治疗的共82例妊娠糖尿病患者，采用随机分配方法，随机分为观察组和对照组。对照组实行常规治疗和护理，观察组则给予优质护理联合运动疗法的治疗，对两组患者的护理疗效比较分析。结果：干预前两组空腹血糖和餐后1.5h血糖分别为（9.28±1..32）、（10.53±3.42）mmol/L和（9.30±1.08）、（10.61±4.53）mmol/L，差异不具有显著性（P>0.05）。经干预后，观察组的空腹血糖和餐后1.5h血糖分别为（6.53±1.31）、（7.43±0.53）mmol/L，显著低于对照组的（7.70±1.83）、（9.90±5.12）mmol/L；在妊娠结局中，观察组1例早产，2例流产，不良妊娠结局的发生率为7.3%。对照组4例胎儿窘迫，6例早产，3例流产，10例羊水过多，4例剖宫产，不良妊娠结局的发生率为65.9%，差异不具有显著性（P>0.05）。结论：对于妊娠糖尿病患者，实行优质护理联合运动疗法可以显著改善患者的预后和妊娠的结局，值得在临床上推广应用。
关键词：优质护理联合运动疗法；妊娠糖尿病；血糖改善，妊娠结局
Application analysis of high quality nursing combined with exercise therapy in gestational diabetes care
Abstract: Objective: To explore the application of quality nursing combined with exercise therapy in the treatment of gestational diabetes. Method: A total of 82 gestational diabetes patients who were treated in our hospital from January to February 2018 were randomly divided into observation group and control group. The control group received routine treatment and nursing, and the observation group was given high-quality nursing combined with exercise therapy. The nursing effect of the two groups was compared and analyzed. RESULTS: Fasting blood glucose and 1.5 h postprandial blood glucose were (9.28±1.32), (10.53±3.42) mmol/L, and (9.30±1.08), and (10.61±4.53) mmol/L, respectively. The difference was not significant. Sex (P>0.05). After intervention, the fasting blood glucose and 1.5 h postprandial blood glucose in the observation group were (6.53±1.31) and (7.43±0.53) mmol/L, respectively, which were significantly lower than those in the control group (7.70±1.83) and (9.90±5.12) mmol. /L; In the pregnancy outcome, 1 case of premature delivery and 2 cases of miscarriage in the observation group, the incidence of adverse pregnancy outcome was 7.3%. In the control group, 4 cases of fetal distress, 6 cases of premature delivery, 3 cases of abortion, 10 cases of polyhydramnios, 4 cases of cesarean section, the incidence of adverse pregnancy outcome was 65.9%, the difference was not significant (P>0.05). Conclusion: For patients with gestational diabetes, the implementation of quality nursing combined with exercise therapy can significantly improve the prognosis of patients and the outcome of pregnancy, it is worthy of clinical application.
Keywords: quality care combined with exercise therapy; gestational diabetes; blood glucose improvement, pregnancy outcome
妊娠期糖尿病(gestational diabetes mellitus，GDM)是糖尿病的一种特殊类型，是妊娠期常见的一种并发症，其发生率约为1.3%-3.7%，且呈逐年上升的趋势。GDM孕妇容易发生妊娠期高血压、羊水过多、巨大儿、胎儿生长受限、新生儿低血糖及产后Ⅱ型糖尿病的发病率增加等，严重威胁母亲健康及围生儿的生命。为了研究优质护理联合运动疗法在妊娠糖尿病护理中的应用价值，选取在我院治疗的共82例妊娠糖尿病患者，研究优质护理联合运动疗法在妊娠糖尿病护理中的应用价值，报道如下。
1资料和方法
1.1基本资料
按照不同的护理方式分为观察组和对照组，观察组41例，年龄21-38岁，平均（26.51±3.81）岁，孕周平均（33.96±3.19）周，；对照组41例，年龄20-40岁，平均（27.51±3.86）岁，孕周平均（33.76±3.22）周；两组患者年龄及孕周方面比较，差异无统计学意义（P＞0.05）。
1.2基本方法
对照组进行常规护理，包括常规出入院的介绍、用药指导、基础护理等，同时密切关注患者的血糖情况和各项生命体征变化。观察组则在对照组的基础上应用心理护理联合运动疗法的处理。在心理护理上：患者入院后，护理人员立即给予关心和照料，与患者展开的积极的交流和沟通，拉近护患之间的关系，从而获得患者及其家属的信任，进而促进患者对治疗的依从性。在运动疗法上：患者餐后30min，护理人员指导其开展上肢的运动锻炼，可以指定患者两手举起两个物体，之后进行交替运动和上下运动，该次运动控制时间大约为15min，持续30min，每天进行3次。
2结果
表1：两组患者妊娠结局的比较/例
3讨论
综上所述， 对于妊娠糖尿病患者，实行优质护理联合运动疗法可以显著改善患者的预后和妊娠的结局，值得在临床上推广应用。
参考文献
［1］赵舫,朱文娟.心理护理联合运动疗法在妊娠糖尿病护理中的应用［J］.中国医药指南,2017.15（3）:197-198.
［2］李志云,李正梅等.优质护理在妊娠期糖尿病患者中的效果观察［J］.中国妇幼卫生杂志,2015,6（5）:40-41.
［3］薛华.优质护理在妊娠糖尿病护理中的应用效果［J］.实用妇科内分泌杂志,2017,4（27）:167-168.
论文作者: 吕连玉
论文发表刊物:《世界复合医学》2018年第08期
论文发表时间:2018/10/30
标签：患者论文; 疗法论文; 糖尿病论文; 对照组论文; 血糖论文; 结局论文; 糖尿病患者论文; 《世界复合医学》2018年第08期论文;