| 戈玉平.Orem自理理论对糖代谢异常孕妇分娩结局及新生儿预后的影响[J].安徽医药,2018,22(12):2397-2399. |
| Orem自理理论对糖代谢异常孕妇分娩结局及新生儿预后的影响 |
| Effect of Orem self-care model on the delivery outcome and neonatal outcome in patients with abnormal glucose metabolism |
| 投稿时间：2017-04-26 |
| DOI： |
| 中文关键词: Orem自理理论 糖代谢异常 分娩结局 自护能力 新生儿 预后 |
| 英文关键词: Orem self-care model Abnormal glucose metabolism Pregnancy outcome Self-care ability Newborn Prognosis |
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| 中文摘要: |
| 目的 探讨Orem自理理论对糖代谢异常孕妇分娩结局及新生儿预后的影响。 方法 选取2015年5月至2016年12月在无锡市第九人民医院行50 g葡萄糖负荷试验(GCT)确诊为糖代谢异常的250例孕妇,采用随机数字表法分为观察组及对照组各125例,对照组妊娠期间给予常规性护理,观察组妊娠期间应用Orem自理理论实施护理,对两组孕妇随访至分娩,观察两组母婴并发症及妊娠结局。 结果 观察组孕妇的自护能力评分显著高于对照组(P<0.05)。观察组孕妇的血糖指标水平显著低于对照组(P<0.05)。观察组不良妊娠结局发生情况低于对照组(P<0.05)。 结论 Orem自理理论能有效提高糖代谢异常孕妇自护能力,改善其血糖水平,降低不良妊娠结局,值得推广。 |
| 英文摘要: |
| Objective To investigate the effect of Orem self-care mode on the delivery outcome and neonatal outcome in patients with abnormal glucose metabolism. Methods 250 pregnant women with abnormal glucose metabolism in our hospital from May 2015 to December 2016 were randomly divided into observation group and control group with 125 cases in the control group.Patients in the control group were given routine nursing.The patients were followed up until delivery.The complications and pregnancy outcome of the two groups were observed. Results The self-care ability score of pregnant women in the observation group was significantly higher than that of the control group (P<0.05).was significantly higher than that of control group (P<0.05).The levels of abdominal blood glucose and 2h blood glucose in the observation group were significantly lower than those in the control group (P<0.05).The incidence of premature birth,intrauterine infection,pre-eclampsia,cesarean section rate,neonatal asphyxia,intrauterine distress,aspiration pneumonia in the observation group were lower than those in the control group (P<0.05). Conclusion The Orem self-care model can effectively improve the self-care ability of pregnant women,glucose metabolism in patients with abnormal blood glucose levels,reduce maternal and infant adverse pregnancy outcomes,which is worthy of further clinical application. |
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