CAJ | 학술논문

目的：探讨循证护理对妊娠期糖尿病分娩结局的影响。方法60例妊娠期糖尿病产妇随机分为观察组30例(采用循证护理)和对照组30例(采用常规护理)，对比两组的护理效果。结果观察组孕妇并发症(妊娠高血压疾病、羊水过多)、围生儿并发症(新生儿窒息、巨大儿)发生率以及剖宫产率均显著低于对照组，两组相比差异均具有统计学意义(P<0.05)。结论通过对妊娠糖期尿病孕妇实施系统化、科学化、循序渐进化的循证护理干预，有助于控制孕妇血糖水平，降低妊娠期并发症及新生儿并发症发生率，这对改善妊娠期糖尿病(GDM)母婴结局和孕妇预后有着积极的意义，值得临床推广和使用。
목적：탐토순증호리대임신기당뇨병분면결국적영향。방법60례임신기당뇨병산부수궤분위관찰조30례(채용순증호리)화대조조30례(채용상규호리)，대비량조적호리효과。결과관찰조잉부병발증(임신고혈압질병、양수과다)、위생인병발증(신생인질식、거대인)발생솔이급부궁산솔균현저저우대조조，량조상비차이균구유통계학의의(P<0.05)。결론통과대임신당기뇨병잉부실시계통화、과학화、순서점진화적순증호리간예，유조우공제잉부혈당수평，강저임신기병발증급신생인병발증발생솔，저대개선임신기당뇨병(GDM)모영결국화잉부예후유착적겁적의의，치득림상추엄화사용。
Objective To investigate the influence of evidence-based nursing on delivery outcome in gestational diabetes mellitus. Methods A total of 60 puerpera with gestational diabetes mellitus were randomly divided into observation group with 30 cases (receiving evidence-based nursing) and control group with 30 cases (receiving conventional nursing). Nursing effects of the two groups were compared. Results The observation group had obviously lower incidences of maternal complications (hypertensive disorders in pregnancy, polyhydramnios), perinatal complications (neonatal asphyxia, macrosomia), and cesarean section than the control group. The differences between the two groups all had statistical significance (P<0.05). Conclusion Implement of systematic, scientific, and gradual evidence-based nursing for puerpera with gestational diabetes mellitus can control blood glucose level, and reduce incidences of maternal complications and perinatal complications. This method contains positive significance for improving gestational diabetes mellitus (GDM) mother-infant outcome and prognosis, and it is worthy of clinical promotion and application.