Effect of evidence-based nursing management on gestational diabetes (GDM) and their perinatal infants
循证护理模式管理对妊娠期糖尿病（GDM）病人及其围生儿的影响探析

摘要

目的 观察分析循证护理模式管理对妊娠期糖尿病（GDM）病人及其围生儿的影响。方法 选取2021年2月-2022年2月在我院接受治疗的妊娠期糖尿病病人60例作为研究目标，按入院时间先后分为常规组和研究组，各30例。常规组采用常规护理干预，研究组采用循证护理模式干预，对比两组孕妇围产期并发症发生情况和对比两组围生儿并发症发生情况。结果 研究组30例中出现2例并发症，1例羊水过多，1例剖宫产，经对症治疗后已恢复，并发症发生率为6.66%；常规组30例中出现10例并发症，2例产后出血，2例羊水过多，1例妊娠高血压综合征，3例胎膜早破，4例剖宫产，并发症发生率为33.33%，研究组并发症发生率低，常规组并发症发生率高（P＜0.05），差异存在统计学意义。研究组围生儿30例中出现2例并发症，均为低血糖，经对症治疗后已恢复，并发症发生率为6.66%；常规组30例中出现11例并发症，6例低血糖，2例畸形，1例呼吸窘迫综合征，并发症发生率为36.66%，研究组并发症发生率低，常规组并发症发生率高（P＜0.05）。结论 循证护理在妊娠期糖尿病（GDM）病人及其围生儿应用效果显著，可降低孕妇及围生儿并发症发生几率，有利于母婴预后，值得临床推广及应用。

Abstract

Objective To observe and analyze the effect of evidence-based care model management on gestational diabetes mellitus (GDM) patients and their perinatal infants.
Methods 60 patients with gestational diabetes treated in our hospital from February 2021 to February 2022 were selected as the research objectives, and were divided into routine group and study group according to the time of admission. The routine group adopted the routine care intervention, and the study group used the evidence-based care model intervention to compare the occurrence of perinatal complications in the two groups and the occurrence of perinatal complications in the two groups.
Results Two complications of 30 cases, 1 amniotic fluid, 1 cesarean section, recovered after symptomatic treatment, 6.66%, 10 of 30 complications, 2 postpartum hemorrhage, 2 amniotic fluid, 1 hypertension syndrome, 3 premature ROM, 4 cesarean section, 33.33%, high (P <0.05). Two of 30 complications in the study group, both hypoglycemia, recovered after symptomatic treatment, complication rate of 6.66%, 6 hypoglycemia, 2 deformity and one respiratory distress syndrome, 36.66% in the study group and high in the conventional group (P <0.05).
Conclusion   Evidence-based nursing has been effectively applied effectively in gestational diabetes (GDM) patients and their perinatal infants, which can reduce the incidence of pregnant women and perinatal complications, be conducive to maternal and infant prognosis, and is worthy of clinical promotion and application.