[1]吴凌云.临床护理路径在妊娠期糖尿病合并妊娠期高血压患者中的应用[J].医学信息,2019,32(10):181-183.[doi:10.3969/j.issn.1006-1959.2019.10.061]
　WU Ling-yun.Application of Clinical Nursing Pathway in Gestational Diabetes Mellitus Complicated with Gestational Hypertension[J].Journal of Medical Information,2019,32(10):181-183.[doi:10.3969/j.issn.1006-1959.2019.10.061]
点击复制

临床护理路径在妊娠期糖尿病合并妊娠期高血压患者中的应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年10期
页码:
181-183
栏目:
护理研究
出版日期:
2019-05-15

文章信息/Info

Title:
Application of Clinical Nursing Pathway in Gestational Diabetes Mellitus Complicated with Gestational Hypertension
文章编号:
1006-1959（2019）10-0181-03
作者:
吴凌云
（江西省妇幼保健院妇产科，江西 南昌 330006）
Author(s):
WU Ling-yun
(Department of Obstetrics and Gynecology,Jiangxi Maternal and Child Health Hospital,Nanchang 330006,Jiangxi,China)
关键词:
妊娠期糖尿病; 妊娠期高血压; 临床护理路径; 妊娠结局
Keywords:
Gestational diabetes; Gestational hypertension; Clinical nursing pathway; Pregnancy outcome
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2019.10.061
文献标志码:
A
摘要:
目的 探讨妊娠期糖尿病合并妊娠高血压患者临床护理路径的的应用效果。方法 选取2017年3月~2018年5月我院收治的妊娠期糖尿病合并妊娠期高血压患者72例，按照随机数字表法分为一般组和观察组，各36例。一般组给予实施常规护理，观察组给予临床护理路径护理，比较两组护理前、后的血糖、血压水平，并随访两组患者至终止妊娠，比较两组不良妊娠结局发生率。结果 两组护理前的血糖、血压水平比较，差异无统计学意义（P＞0.05）；护理后，观察组空腹血糖、餐后2h血糖均低于一般组[（6.06±0.98）mmol/L vs（7.12±0.65）mmol/L，（8.15±0.88）mmol/L vs（9.48±0.90）mmol/L]，差异有统计学意义（P＜0.05）；观察组收缩压、舒张压均低于一般组[（128.11±3.80）mmHg vs（136.03±3.75）mmHg，（85.06±4.18）mmHg vs（90.10±4.09）mmHg]，差异有统计学意义（P＜0.05）。观察组不良妊娠结局发生率为8.33%，低于一般组的25.00%，差距有统计学意义（P＜0.05）。结论 临床护理路径对妊娠期糖尿病合并妊娠期高血压患者的血糖和血压均有积极的干预作用，能够有效改善患者健康状态，降低患者不良妊娠结局发生率。
Abstract:
Objective To investigate the clinical application of clinical nursing pathways in patients with gestational diabetes mellitus and pregnancy-induced hypertension. Methods 72 patients with gestational diabetes mellitus complicated with gestational hypertension admitted to our hospital from March 2017 to May 2018 were enrolled. According to the random number table method, they were divided into general group and observation group, 36 cases each. The general group was given routine nursing care, the observation group was given clinical nursing path nursing, the blood glucose and blood pressure levels before and after the two groups were compared, and the two groups were followed up to terminate the pregnancy, and the incidence of adverse pregnancy outcomes was compared between the two groups.Results There was no significant difference in blood glucose and blood pressure between the two groups before treatment (P＞0.05). After nursing, the fasting blood glucose and 2h postprandial blood glucose in the observation group were lower than the general group[(6.06±0.98) mmol/L vs( 7.12±0.65) mmol/L, (8.15±0.88) mmol/L vs (9.48±0.90) mmol/L], the difference was statistically significant (P＜0.05); the systolic blood pressure and diastolic blood pressure in the observation group were lower than the average Groups [(128.11±3.80) mmHg vs (136.03±3.75) mmHg, (85.06±4.18) mmHg vs (90.10±4.09) mmHg], the difference was statistically significant (P＜0.05). The incidence of adverse pregnancy outcomes in the observation group was 8.33%, which was lower than that in the general group 25.00%,the difference was statistically significant (P＜0.05).Conclusion The clinical nursing pathway has positive intervention effects on blood glucose and blood pressure in gestational diabetes mellitus patients with hypertensive disorder complicating pregnancy, which can effectively improve the health status of patients and reduce the incidence of adverse pregnancy outcomes.

参考文献/References:

[1]李建荣,樊锦春,杨韵歆.36例妊娠期糖尿病合并高血压患者剖宫产围术期临床观察与护理[J].实用临床医药杂志,2015,19(14):106-109.
[2]刘芬,陈秋花,胡建梅.优质护理模式在妊娠期糖尿病合并妊娠期高血压产妇中的应用[J].中国当代医药,2017,24(29):175-178.
[3]梁琼.妊娠期高血压综合征临床护理干预效果的观察[J].中国伤残医学,2016,24(5):186-187.
[4]石锦波,孙涛.个体化营养护理对妊娠期糖尿病并发妊娠期高血压孕妇的干预效果[J].青岛医药卫生,2017,49(1):73-75.
[5]刘晓芳,张冬梅.临床护理路径在急性心肌梗死急救中的效果观察和护理满意度的影响[J].河北医学,2016,22(4):670-673
[6]杨艳君,陈照.临床护理路径对妊娠期糖尿病孕妇健康知识及血糖控制的影响[J].实用临床医药杂志,2016,20(6):101-104.
[7]李冬玲,陈玉婵,郑月仙.实施临床护理路径对妊娠期糖尿病孕妇术后遵医行为的影响[J].护理研究,2015,29(25):3136-3138.
[8]杨华红.临床护理路径在妊娠糖尿病患者中的应用效果分析[J].国际医药卫生导报,2015,21(18):2792-2794.
[9]刘琼英,黎秋容.临床护理路径改善妊娠期糖尿病孕妇剖宫产术后遵医行为的效果[J].全科护理,2017,15(3):314-315.

相似文献/References:

[1]范新婷.层级护理在妊娠期糖尿病孕妇剖宫产中的应用研究[J].医学信息,2018,31(02):168.[doi:10.3969/j.issn.1006-1959.2018.02.065]
　FAN Xin-ting.Study on the Application of Hierarchical Nursing in Cesarean Section of Pregnant Women with Gestational Diabetes Mellitus[J].Journal of Medical Information,2018,31(10):168.[doi:10.3969/j.issn.1006-1959.2018.02.065]
[2]孟召然,李 玲,范建辉.妊娠期糖尿病相关危险因素分析[J].医学信息,2018,31(04):81.[doi:10.3969/j.issn.1006-1959.2018.04.026]
　MENG Zhao-ran,LI Ling,FAN Jian-hui.Analysis of Risk Factors Related to Gestational Diabetes Mellitus[J].Journal of Medical Information,2018,31(10):81.[doi:10.3969/j.issn.1006-1959.2018.04.026]
[3]王 荣.诺和锐特充治疗妊娠期糖尿病的临床效果观察[J].医学信息,2018,31(08):186.[doi:10.3969/j.issn.1006-1959.2018.08.069]
　WANG Rong.Clinical Observation on the Treatment of Gestational Diabetes Mellitus with Novoterol[J].Journal of Medical Information,2018,31(10):186.[doi:10.3969/j.issn.1006-1959.2018.08.069]
[4]李雪莲.妊娠合并糖尿病对分娩结局的影响观察[J].医学信息,2018,31(10):114.[doi:10.3969/j.issn.1006-1959.2018.10.036]
　LI Xue-lian.Effect of Pregnancy Complicated with Diabetes on Delivery Outcome[J].Journal of Medical Information,2018,31(10):114.[doi:10.3969/j.issn.1006-1959.2018.10.036]
[5]屈利洁.围生期综合护理措施及营养干预对妊娠期糖尿病患者的价值[J].医学信息,2018,31(15):171.[doi:10.3969/j.issn.1006-1959.2018.15.057]
　QU Li-jie.The Value of Perinatal Comprehensive Nursing Measures and Nutritional Intervention in Gestational Diabetes Patients[J].Journal of Medical Information,2018,31(10):171.[doi:10.3969/j.issn.1006-1959.2018.15.057]
[6]施莉英,孙星星,陈 超,等.妊娠期高血压病患者产后降压治疗的效果分析[J].医学信息,2018,31(19):108.[doi:10.3969/j.issn.1006-1959.2018.19.032]
　SHI Li-ying,SUN Xing-xing,CHEN Chao,et al.Analysis of the Effect of Postpartum Antihypertensive Therapy in Patients with Hypertensive Disorder Complicating Pregnancy[J].Journal of Medical Information,2018,31(10):108.[doi:10.3969/j.issn.1006-1959.2018.19.032]
[7]刘玉静,朱 静.产后护理管理对妊娠期糖尿病患者血糖控制及疾病认知水平的影响[J].医学信息,2018,31(23):180.[doi:10.3969/j.issn.1006-1959.2018.23.053]
　LIU Yu-jing,ZHU Jing.Effect of Postpartum Nursing Management on Blood Glucose Control and Disease Cognition of Gestational Diabetes Mellitus Patients[J].Journal of Medical Information,2018,31(10):180.[doi:10.3969/j.issn.1006-1959.2018.23.053]
[8]于素芳.妊娠期糖尿病的综合干预及药物治疗[J].医学信息,2019,32(01):59.[doi:10.3969/j.issn.1006-1959.2019.01.020]
　YU Su-fang.Comprehensive Intervention and Drug Therapy for Gestational Diabetes Mellitus[J].Journal of Medical Information,2019,32(10):59.[doi:10.3969/j.issn.1006-1959.2019.01.020]
[9]左俊芳,刘沙沙,崔洪艳.妊娠期糖尿病高危因素及预防措施研究[J].医学信息,2022,35(17):177.[doi:10.3969/j.issn.1006-1959.2022.17.048]
　ZUO Jun-fang,LIU Sha-sha,CUI Hong-yan.Study on High Risk Factors and Preventive Measures of Gestational Diabetes Mellitus[J].Journal of Medical Information,2022,35(10):177.[doi:10.3969/j.issn.1006-1959.2022.17.048]
[10]梁彩琼.妊娠期高血压疾病患者的ICD-10编码分析[J].医学信息,2019,32(17):26.[doi:10.3969/j.issn.1006-1959.2019.17.009]
　LIANG Cai-qiong.ICD-10 Coding Analysis of Patients with Hypertensive Disorder Complicating Pregnancy[J].Journal of Medical Information,2019,32(10):26.[doi:10.3969/j.issn.1006-1959.2019.17.009]
[11]王翠静,朱艳红,刘凤芝.妊娠期糖尿病发病因素及其产科并发症研究[J].医学信息,2023,36(06):189.[doi:10.3969/j.issn.1006-1959.2023.06.043]
　WANG Cui-jing,ZHU Yan-hong,LIU Feng-zhi.Study on the Pathogenic Factors of Gestational Diabetes Mellitus and its Obstetric Complicationss[J].Journal of Medical Information,2023,36(10):189.[doi:10.3969/j.issn.1006-1959.2023.06.043]

更新日期/Last Update: 2019-05-15