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1、社区护理干预对妊娠糖尿病病人的血糖控制和妊娠结局的影响探讨吕秀兰山东省广饶县人民医院257300【摘要】目的:研究分析生活方式干预对妊娠糖尿病患者的血糖控制和妊娠结局的影响。方法:选取我院2013年5月到2014年5月所收治的妊娠糖鉍病患者130例作为研宂对象,按随机表法将其分成两组,即观察组与对照组,对照组患者采取常规护理措施,在此基础之上,对观察组患者实施生活方式干预措施,并对两组患者的血糖控制及其妊娠结局进行对比与观察。结果:干预前,观察组与对照组在FPG、2hPG以及HbAlc等的比较上无明
2、显差异;干预后,观察组患者FPG、2hPG以及HbAlc等指标明显低于对照组,差异显著,具有统计学意义(P<0.05;观察组孕产妇并发症发生率为13.85%,对照组孕产妇并发症发生率为24.62%,两组对比差异显著,具有统计学意义(P<0.05);观察组围产儿并发症发生率为16.92%,对照组则为26.15%,两组对比差异显著,具有统计学意义(P<0.05)o结论:在常规护理的基础之上,对妊娠期糖尿病患者实施生活方式干预,能够有效降低患者的血糖水平,降低并发症的发生率,值得在临床上大力推
3、广与使用。【关键词】生活方式;妊娠糖祕病;血糖控制CommunityNursingInterventionforGestationalDiabetesPatientstoExploretheInfluenceofGlycemicControlandPregnancyOutcomeLvXiulanGuangraoCountyofShandongProvincePeople'sHospital,257300Abstract:Objectivetostudytheanalysisofthelifestyl
4、einterventionofglycemiccontrolinpatientswithgestationaldiabetesandpregnancyoutcomes.SelectionmethodsfromMay2013toMay2014treated130casesofpatientswithgestationaldiabetesmellitusastheresearchobject,itisdividedintotwogroupsaccordingtorandomtablemethod,the
5、observationgroupandcontrolgroup,controlgrouppatientswithroutinenursingmeasures,onthisbasis,theobservationgrouppatientslifestyleinterventionmeasures,andglycemiccontrolandpregnancyoutcomesintwogroupsofpatientscomparedwithobservation.Resultsbeforeinterven
6、tion,theobservationgroupandcontrolgroupintheFPG,2HPGandHbAlcetc.Thereisnoobviousdifferenceofcomparison;Aftertheintervention,theobservationgroupofpatientswithFPG,2HPGandHbAlcindexsignificantlylowerthanthecontrolgroup,significantdifference,statisticallys
7、ignificant(P<0.05;observationgroupmaternalcomplicationswas13.85%,thecontrolofmaternalcomplicationswas24.62%,significantlydifferencecomparedthetwogroups,withstatisticalsignificance(P<0.05);theobservationgroupofperinatalcomplicationratewas16.92%,th
8、econtrolgroupwas26.15%,significantlydifferencecomparedthetwogroups,withstatisticalsignificance(P<0.05).Conclusionsonthebasisofconventionalnursing,implementinglifestyleinterventioninpatientswithgestationaldiabetes,caneffectivelyreduce