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目的:探讨妊娠期糖尿病(GDM)患者提供饮食控制护理过程中应用循证护理服务的影响。方法:将肇庆市端州区妇幼保健院于2014年2月至2015年2月收治的GDM患者80例,按照入院先后顺序划分为一般组与循证组各40例,一般组患者接受此种疾病常规护理服务,循证组在一般组护理基础上加以应用循证护理概念,观察两组血糖控制情况,总结患者对遵医行为及对临床护理服务评价。结果:两组患者血糖控制均在正常范围,循证组低于一般组,差异具有统计学意义(P<0.05)。一般组患者对于临床提供的饮食计划、运动干预、健康宣教及病情监测等指标评分均较低,循证组评分均较高,差异具有统计学意义(P<0.05)。一般组患者对于临床治疗配合度、进食情况、运动、对疾病知识掌握等方面指标评分均较低,循证组较高,差异具有统计学意义(P<0.05)。结论:对于GDM患者实施循证护理服务,大部分患者遵医行为评价较高,且对临床提供的护理服务质量评价较高,患者血糖控制情况较好。
Objective: To investigate the impact of evidence-based nursing services in the provision of diet-controlled nursing for patients with gestational diabetes mellitus (GDM). Methods: Eighty patients with GDM admitted to Dazhou District MCH from February 2014 to February 2015 were divided into general group and evidence-based group according to the order of hospital admission, 40 cases each. Patients in general group accepted this The routine nursing service of the disease, the evidence-based group applied the concept of evidence-based nursing on the basis of the general group nursing, observed the blood sugar control situation in both groups, and summarized the patients’ compliance behavior and clinical nursing service evaluation. Results: The control of blood glucose in the two groups was in the normal range, but the difference was statistically significant in the evidence-based group (P <0.05). General group of patients for clinical diet plans, exercise intervention, health education and disease monitoring indicators such as low scores, evidence-based group were higher scores, the difference was statistically significant (P <0.05). The average score of the patients in the general group for clinical treatment, food intake, exercise and knowledge of the disease was lower, and the evidence-based group was higher, the difference was statistically significant (P <0.05). CONCLUSIONS: Evidence-based nursing services for GDM patients have a high prevalence of follow-up and a high rating for the quality of care services provided by clinics. Patients with glycemic control are better.