CAJ | 학술논문

目的：探讨妊娠期糖尿病采用综合护理干预的临床效果。方法选择妊娠期糖尿病孕妇100例为研究对象，随机分为干预组和对照组各50例。干预组给予综合护理干预，对照组给予常规护理。比较两组母婴结局。结果研究组妊娠期高血压、早产、剖宫产、羊水过多、胎儿窘迫、产后出血、泌尿系感染发生率显著低于对照组(P<0.01)；研究组新生儿窒息、新生儿低血糖、新生儿高胆红素血症发生率显著低于对照组(P<0.01或P<0.05)。结论对妊娠期糖尿病孕妇实施综合护理干预，结合健康教育、饮食干预、运动干预、心理干预、孕期监测等，在不同妊娠时期给予侧重点不同的干预护理，能够有效改善母婴结局。
목적：탐토임신기당뇨병채용종합호리간예적림상효과。방법선택임신기당뇨병잉부100례위연구대상，수궤분위간예조화대조조각50례。간예조급여종합호리간예，대조조급여상규호리。비교량조모영결국。결과연구조임신기고혈압、조산、부궁산、양수과다、태인군박、산후출혈、비뇨계감염발생솔현저저우대조조(P<0.01)；연구조신생인질식、신생인저혈당、신생인고담홍소혈증발생솔현저저우대조조(P<0.01혹P<0.05)。결론대임신기당뇨병잉부실시종합호리간예，결합건강교육、음식간예、운동간예、심리간예、잉기감측등，재불동임신시기급여측중점불동적간예호리，능구유효개선모영결국。
Objective To discuss effect of comprehensive nursing intervention on outcome of pregnant woman with gestational diabetes. Methods and 100 cases with gestational diabetes were and divided into intervention group and control group (each of 50 cases). Intervention group was nursed with comprehensive nursing intervention, and control group was nursed with routine care. Pregnancy outcome of two groups was compared. Results The incidences of gesta-tional hypertension, premature birth, cesarean, excessive amniotic fluid, fetal distress, postpartum hemorrhage, uri-nary tract infection of intervention group were lower than those of control group (P<0.01). The incidences of asphyxia,neonatal hypoglycemia,hyperbilirubinemia of intervention group were lower than those of control group (P<0.01 or P<0.05). Conclusion Comprehensive nursing intervention for gestational diabetes, combined with health education, di-etary intervention,exercise intervention,psychological intervention,pregnancy monitoring with different emphasis care in different periods of pregnancy can improve pregnancy outcome.