CAJ | 학술논문

目的：探讨综合护理对妊娠期糖尿病患者血糖、负性情绪和妊娠结局的影响。方法：将163例GDM患者随机分为观察组和对照组，对照组81例采用常规护理，观察组82例采用综合护理，比较两组入院时和分娩后的血糖、负性情绪及妊娠结局的改变。结果：分娩后，两组患者空腹血糖、餐后2h血糖、HbAlc、SAS得分和SDS得分均显著下降，观察组下降幅度更大，差异均有统计学意义（均P<0.05）。观察组胎盘早剥、产后出血、泌尿系统感染、巨大儿、新生儿低血糖和早产儿的发生率低于对照组，差异有统计学意义（均P<0.05）。结论：与常规护理相比，综合护理干预更能有效控制妊娠期糖尿病患者的血糖水平，改善患者的焦虑和抑郁情绪，降低不良妊娠结局的发生率。
목적：탐토종합호리대임신기당뇨병환자혈당、부성정서화임신결국적영향。방법：장163례GDM환자수궤분위관찰조화대조조，대조조81례채용상규호리，관찰조82례채용종합호리，비교량조입원시화분면후적혈당、부성정서급임신결국적개변。결과：분면후，량조환자공복혈당、찬후2h혈당、HbAlc、SAS득분화SDS득분균현저하강，관찰조하강폭도경대，차이균유통계학의의（균P<0.05）。관찰조태반조박、산후출혈、비뇨계통감염、거대인、신생인저혈당화조산인적발생솔저우대조조，차이유통계학의의（균P<0.05）。결론：여상규호리상비，종합호리간예경능유효공제임신기당뇨병환자적혈당수평，개선환자적초필화억욱정서，강저불량임신결국적발생솔。
Objective:To investigate the effects of comprehensive nursing on blood sugar, negative emotions and pregnancy outcome among GDM patients. Methods:163 GDM patients were randomly divided into observation group and control group, the control group received routine nursing and the observation group received comprehensive nursing, we compared the blood sugar, negative emotions and pregnancy outcome of two groups. Results:After deliv-ery, fasting blood glucose, postprandial 2h plasma glucose, HbAlc, SAS scores and SDS scores of patients in two groups were significantly decreased, while the observation group fell even more sharply, the differences were statisti-cally all significant (all P<0.05). Incidence of Abruption, postpartum hemorrhage, urinary tract infections, huge chil-dren, neonatal hypoglycemia and premature children in observation group were lower than in the control group, the difference was all statistically significant (all P<0.05). Conclusion:Compared with usual nursing, comprehensive nursing intervention is more effective on controlling blood glucose levels in patients with gestational diabetes and im-prove the patient's anxiety and depression, reduce incidence of adverse pregnancy outcomes.