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妊娠期糖尿病患者产前胰岛素泵短期强化综合干预的效果观察

陈芸 方芳 周意 胡颖 李懿蔚

护理学报Issue(23):45-49,5.
护理学报Issue(23):45-49,5.

妊娠期糖尿病患者产前胰岛素泵短期强化综合干预的效果观察

Effect of Integrated Intervention for Patients with Gestational Diabetes Mellitus Undergoing Predelivery Insulin Pump Intensive Therapy

陈芸 1方芳 2周意 1胡颖 3李懿蔚1

作者信息

  • 1. 上海交通大学附属第一人民医院产科,上海 200080
  • 2. 上海交通大学附属第一人民医院护理部,上海 200080
  • 3. 上海交通大学附属第一人民医院内分泌科,上海 200080
  • 折叠

摘要

Abstract

Objective To evaluate the effect of integrated intervention for patients with gestational diabetes mellitus (GDM) undergoing predelivery insulin pump intensive therapy on glycemic control and perinatal outcome. Methods Totally 64 patients with GDM undergoing insulin pump intensive therapy were randomly divided into integrated intervention (II) group and routine nursing (RN) group from June 2010 to June 2013. Integrated interventions included GDM diet and upper limbs activity by MOTO med viva2 adaptive ergometer, education of harm to pregnant women and neonates from GDM, advantages of pump therapy, pumps managing training, complication prevention. GDM salons were hold aperiodically, and the individual normative technical training were implemented whenever necessary. Treatment compliance, time for successful treatment, daily insulin dosage, maternal and neonatal complications were assessed. Results Treatment compliance was significantly better in group II than that in group RN ( P<0.05). Both the daily insulin dosage and the incidence of hypoglycemia were significantly less in group II than those in group RN ( P<0.05). Conclusion Through integrated intervention of insulin pump therapy, patients have better treatment compliance, while with less insulin dosage, and the hypoglycemia is prevented and controlled effectively.

关键词

妊娠期糖尿病/胰岛素泵/综合干预/遵医行为/护理

Key words

gestational diabetes mellitus/insulin pump/integrated intervention/treatment compliance/nursing care

分类

医药卫生

引用本文复制引用

陈芸,方芳,周意,胡颖,李懿蔚..妊娠期糖尿病患者产前胰岛素泵短期强化综合干预的效果观察[J].护理学报,2013,(23):45-49,5.

基金项目

2012年度上海交通大学医学院护理科研基金 ()

护理学报

OACSTPCD

2097-6569

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