妊娠期糖尿病孕婦剖宮產(chǎn)圍手術(shù)期護(hù)理措施探討

馬玉梅

[摘要] 目的 探討妊娠期糖尿病孕婦剖宮產(chǎn)圍手術(shù)期護(hù)理措施。方法 抽取2018年6月—2019年6月在該院接受治療的妊娠期糖尿病患者46例為研究對象，根據(jù)患者住院先后順序?qū)⑵渚幪枺缘炔顢?shù)列首項為1，公差為2的方式將46例患者平均分為兩組，即對照組與觀察組，每組患者均為23例。對照組行常規(guī)護(hù)理，觀察組在常規(guī)護(hù)理的基礎(chǔ)上行綜合性護(hù)理干預(yù)。結(jié)果 對照組23例患者中2例有分娩風(fēng)險，產(chǎn)婦死亡例數(shù)為1例，新生兒死亡例數(shù)為1例，不良事件發(fā)生率為17.39%，觀察組例患者有分娩風(fēng)險為1例，產(chǎn)婦與新生兒病死率均為0例，不良事件發(fā)生率為4.34%（χ2=4.344，P<0.05）。觀察組患者滿意度（95.65%）高于對照組（78.26%）（χ2=4.709，P<0.05）。觀察組血糖調(diào)節(jié)情況也較對照組好（t=0.987、3.854、0.357、3.745，干預(yù)前P>0.05，干預(yù)后P<0.05）。結(jié)論 針對妊娠期的糖尿病患者，護(hù)理人員要加強圍手術(shù)期護(hù)理強度，創(chuàng)新護(hù)理方法，在常規(guī)護(hù)理基礎(chǔ)上實施綜合性護(hù)理干預(yù)，能夠顯著降低患者的分娩風(fēng)險，保證母嬰安全。

[關(guān)鍵詞] 妊娠期糖尿病;圍手術(shù)期;護(hù)理措施

[中圖分類號] R47 ? ? ? ? ?[文獻(xiàn)標(biāo)識碼] A ? ? ? ? ?[文章編號] 1672-4062（2020）07（b）-0080-03

[Abstract] Objective To explore the perioperative nursing measures for pregnant women with diabetes during cesarean section. Methods Forty-six patients with gestational diabetes who were treated in the hospital from June 2018 to June 2019 were selected as the research object， and they were numbered from according to the order of hospitalization， and the first item in the equivalence series was 1， tolerance was 2， 46 patients were divided into two groups on average， namely the control group and the observation group， with 23 patients in each group. The control group received routine nursing， and the observation group received comprehensive nursing intervention on the basis of routine nursing. Results Two of the 23 patients in the control group were at risk of childbirth. The number of maternal deaths was 1， and the number of neonatal deaths was 1. The incidence of adverse events was 17.39%. The observation group had 1 child at risk of delivery and maternal death and the mortality rate of neonates was 0， the incidence of adverse events was 4.34%（χ2= 4.344， P<0.05）. The satisfaction of the observation group （95.65%） was higher than that of the control group （78.26%）（χ2= 4.709， P<0.05）. The blood glucose regulation of the observation group was also better than that of the control group（t=0.987， 3.854， 0.357， 3.745，before intervention， P>0.05 after interventionP<0.05）. Conclusion For diabetic patients during pregnancy， nursing staff should strengthen the intensity of perioperative care， innovate nursing methods， and implement comprehensive nursing intervention based on routine nursing， which can significantly reduce the risk of childbirth and ensure the safety of mothers and infants.

[Key words] Gestational diabetes， Perioperative period， Nursing measures

近年來，隨著人們生活水平的提高，飲食種類也越來越豐富，這就導(dǎo)致糖尿病患者增多。調(diào)查數(shù)據(jù)顯示，每年患糖尿病的人數(shù)比同年增長1.09個百分點，成為臨床最為常見的病癥之一，引起社會的廣泛關(guān)注[1]。對于妊娠期的糖尿病患者，不僅要關(guān)注患者的生命健康，而且還要關(guān)注新生兒的生命健康[2]。處于妊娠期孕婦受激素變化以及不良生活習(xí)慣的影響，患糖尿病的向率也比較大，而且對新生兒生命健康也有影響，嚴(yán)重情況下導(dǎo)致新生兒死亡[3]。研究發(fā)現(xiàn)在圍手術(shù)期加強對妊娠期糖尿病孕婦的護(hù)理能夠降低孕婦的分娩風(fēng)險，保證母嬰安全。該次調(diào)查抽取2018年6月—2019年6月在該院接受治療的妊娠期糖尿病患者46例為研究對象，探討妊娠期糖尿病孕婦剖宮產(chǎn)圍手術(shù)期護(hù)理措施，報道如下。