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目的探讨护理临床路径在妊娠期糖尿病孕妇中的应用效果。方法选取2015年6月-2016年6月妊娠期糖尿病孕妇62例,将其分为对照组和观察组。对照组行常规治疗护理,观察组根据护理临床路径的内容采取个体综合性护理干预,包括心理、饮食、运动、药物、出院指导及胰岛素注射笔的使用。比较两组的应用效果。结果患者在住院期间实施个体综合性护理干预后,统计观察组的空腹血糖、餐后2 h血糖明显降低。出院6个月回访统计观察组母婴并发症发生率较对照组低。比较差异有统计学意义(P<0.05)。结论护理临床路径临床使用方便、有效,根据计划全程实施个体综合性护理干预能有效的控制妊娠期糖尿病孕妇的血糖水平及降低新生儿并发症的发生机率。
Objective To investigate the clinical effect of nursing in pregnant women with gestational diabetes mellitus. Methods Sixty-two pregnant women with gestational diabetes from June 2015 to June 2016 were selected and divided into control group and observation group. The control group received routine nursing care. The observation group adopted individual comprehensive nursing intervention according to the clinical path of nursing, including psychology, diet, exercise, drugs, discharge guidance and the use of insulin injection pen. Compare the effect of the two groups. Results During the period of inpatient comprehensive nursing intervention, the fasting blood glucose was observed in the observation group, and the blood glucose was significantly decreased 2 h after the meal. Six months after discharge, the incidence of maternal-child complication in the observation group was lower than that in the control group. The difference was statistically significant (P <0.05). Conclusion Clinical nursing is easy to use and effective. According to the plan, comprehensive individual nursing intervention can effectively control the blood glucose level and reduce the incidence of neonatal complications in pregnant women with gestational diabetes.