中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
14期
1638-1641
,共4页
糖尿病%妊娠%随访研究%妊娠并发症%聚焦解决模式%孕期随访管理
糖尿病%妊娠%隨訪研究%妊娠併髮癥%聚焦解決模式%孕期隨訪管理
당뇨병%임신%수방연구%임신병발증%취초해결모식%잉기수방관리
Diabetes mellitus,pregnancy%Follow-up%Pregnancy complication%Solution focused approach%Pregnancy follow-up management
目的 探讨聚焦解决模式在妊娠期糖尿病患者孕期随访管理中的应用及对妊娠结局的影响.方法 选择孕期检查并住院分娩的妊娠期糖尿病患者180例,根据患者在孕期随访管理中是否应用聚焦解决模式进行临床干预分为观察组及对照组各90例,比较两组患者妊娠期并发症发生率及围产儿并发症发生率.结果 两组剖宫产率比较,差异无统计学意义(x2=1.283 2,P＞0.05)；观察组患者围产期并发症发生率中妊娠期高血压疾病、胎膜早破、羊水过多、产后出血的发生率分别为15.55％,12.22％,14.44％,2.22％,均低于对照组的42.22％,30.00％,32.22％,12.22％,差异均有统计学意义(x2分别为15.576 9,8.539 7,7.950 3,6.715 8;P ＜0.01)；观察组围产儿并发症发生率如早产儿、巨大儿、胎儿窘迫、新生儿窒息、新生儿低血糖反应的发生率分别为17.78％,11.11％,5.50％,1.11％,6.67％,均低于对照组的47.78％,36.67％,11.11％,16.67％,21.4％,差异均有统计学意义(x2分别为18.5340,16.163 6,7.456 8,13.445 1,7.850 3;P＜0.01).结论 应用聚焦解决模式对妊娠期糖尿病患者进行孕期随访管理,可降低围产期并发症及围产儿并发症发生率,具有重要的临床意义.
目的 探討聚焦解決模式在妊娠期糖尿病患者孕期隨訪管理中的應用及對妊娠結跼的影響.方法 選擇孕期檢查併住院分娩的妊娠期糖尿病患者180例,根據患者在孕期隨訪管理中是否應用聚焦解決模式進行臨床榦預分為觀察組及對照組各90例,比較兩組患者妊娠期併髮癥髮生率及圍產兒併髮癥髮生率.結果 兩組剖宮產率比較,差異無統計學意義(x2=1.283 2,P＞0.05)；觀察組患者圍產期併髮癥髮生率中妊娠期高血壓疾病、胎膜早破、羊水過多、產後齣血的髮生率分彆為15.55％,12.22％,14.44％,2.22％,均低于對照組的42.22％,30.00％,32.22％,12.22％,差異均有統計學意義(x2分彆為15.576 9,8.539 7,7.950 3,6.715 8;P ＜0.01)；觀察組圍產兒併髮癥髮生率如早產兒、巨大兒、胎兒窘迫、新生兒窒息、新生兒低血糖反應的髮生率分彆為17.78％,11.11％,5.50％,1.11％,6.67％,均低于對照組的47.78％,36.67％,11.11％,16.67％,21.4％,差異均有統計學意義(x2分彆為18.5340,16.163 6,7.456 8,13.445 1,7.850 3;P＜0.01).結論 應用聚焦解決模式對妊娠期糖尿病患者進行孕期隨訪管理,可降低圍產期併髮癥及圍產兒併髮癥髮生率,具有重要的臨床意義.
목적 탐토취초해결모식재임신기당뇨병환자잉기수방관리중적응용급대임신결국적영향.방법 선택잉기검사병주원분면적임신기당뇨병환자180례,근거환자재잉기수방관리중시부응용취초해결모식진행림상간예분위관찰조급대조조각90례,비교량조환자임신기병발증발생솔급위산인병발증발생솔.결과 량조부궁산솔비교,차이무통계학의의(x2=1.283 2,P＞0.05)；관찰조환자위산기병발증발생솔중임신기고혈압질병、태막조파、양수과다、산후출혈적발생솔분별위15.55％,12.22％,14.44％,2.22％,균저우대조조적42.22％,30.00％,32.22％,12.22％,차이균유통계학의의(x2분별위15.576 9,8.539 7,7.950 3,6.715 8;P ＜0.01)；관찰조위산인병발증발생솔여조산인、거대인、태인군박、신생인질식、신생인저혈당반응적발생솔분별위17.78％,11.11％,5.50％,1.11％,6.67％,균저우대조조적47.78％,36.67％,11.11％,16.67％,21.4％,차이균유통계학의의(x2분별위18.5340,16.163 6,7.456 8,13.445 1,7.850 3;P＜0.01).결론 응용취초해결모식대임신기당뇨병환자진행잉기수방관리,가강저위산기병발증급위산인병발증발생솔,구유중요적림상의의.
Objective To study the application and effect of solution focused approach on patients with GDM during pregnancy follow-up.Methods Totals of 180 patients with GDM who chose pregnancy examination and hospital delivery were chosen,and divided into the experimental group and the control group according to whether using solution focused approach during follow-up or not,each with 90 cases.Incidence rates of rinatal complication as well perinatal complication were compared.Results There was no statistically significant difference of cesarean section rate between two groups (x2 =1.283 2,P ＞ 0.05).The incidence rate of rinatal complication was respectively 15.55％ for hypertensive disease,12.22％ for premature rupture of fetal membranes,14.44％ for polyhydramnios and 2.22％ for postpartum hemorrhage in the experimental group,all lower than those in the control group (respectively 42.22％,30.00％,32.22％ and 12.22％),and the differences were statistically significant (x2 =15.576 9,8.539 7,7.950 3,6.715 8,respectively; P ＜ 0.01).The incidence rate of perinatal complication was respectively 17.78％ for premature infant,11.11％ for giant baby,5.50％ for intrauterine asphyxia,1.11％ for asphyxia neonatorum and 6.67％ for hypoglycemia in the experimental group,all lower than those in the control group (respectively 47.78％,36.67％,11.11％,16.67％ and 21.4％),and the differences were statistically significant (x2 =18.534 0,16.163 6,7.456 8,13.445 1,7.850 3,respectively; P ＜ 0.01).Conclusions Solution focused approach has important clinical significance for pregnancy follow-up management of patients with GDM,as well as reducing incidence rates of rinatal and perinatal complication.
