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综合热护理与手术室精细化护理相结合管理妊娠期糖尿病

Combination of comprehensive thermal care and detail-oriented nursing care in the operating room for managing gestational diabetes mellitus.

作者信息

Pan Ya-Ya, Zhang Qiu-Xiang

机构信息

Department of Operating Room, Suzhou Integrated Traditional Chinese and Western Medicine Hospital, Suzhou 215100, Jiangsu Province, China.

Department of Gastroenterology, Suzhou Integrated Traditional Chinese and Western Medicine Hospital, Suzhou 215100, Jiangsu Province, China.

出版信息

World J Clin Cases. 2024 Sep 6;12(25):5706-5712. doi: 10.12998/wjcc.v12.i25.5706.

DOI:10.12998/wjcc.v12.i25.5706
PMID:39247734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11263062/
Abstract

BACKGROUND

As the incidence of gestational diabetes mellitus (GDM) increases, its impact on cesarean sections has attracted widespread attention. Omni-directional, insulated care and detailed care are of great significance in this patient population, as they can effectively improve the quality of care in the operating room.

AIM

To explore the effect of the integrated use of comprehensive thermal insulation.

METHODS

Women with GDM who underwent cesarean sections at our hospital between April 2023 and February 2024 were included in this retrospective study. The participants were randomly allocated to two groups: The observation and control groups. An all-around thermal insulation nursing strategy, including preoperative, intraoperative, and postoperative temperature maintenance, was adopted. In addition, detailed nursing care measures, such as blood glucose monitoring, wound care, and psychological counseling, were implemented in the observation group.

RESULTS

Comparative observation revealed that all-around thermal insulation care can effectively prevent the incidence of maternal hypothermia caused by surgery, reduce the risk of infection, and promote blood circulation. The implementation of detailed care improved maternal satisfaction and reduced the incidence of complications the appropriate management of fluctuations in the blood glucose levels and optimization of the nursing process before and after surgery according to the patient's characteristics.

CONCLUSION

The application of a combination of comprehensive thermal insulation and detailed nursing care improved the overall quality of perioperative care.

摘要

背景

随着妊娠期糖尿病(GDM)发病率的上升,其对剖宫产的影响受到广泛关注。全方位、保温护理及细致护理在这类患者群体中具有重要意义,因为它们能有效提高手术室护理质量。

目的

探讨综合保温措施联合应用的效果。

方法

本回顾性研究纳入了2023年4月至2024年2月在我院接受剖宫产的GDM患者。参与者被随机分为两组:观察组和对照组。采用了包括术前、术中和术后体温维持的全方位保温护理策略。此外,观察组还实施了血糖监测、伤口护理和心理咨询等细致护理措施。

结果

对比观察发现,全方位保温护理可有效预防手术导致的产妇体温过低发生率,降低感染风险,并促进血液循环。细致护理的实施提高了产妇满意度,降低了并发症发生率,根据患者特点对血糖水平波动进行了适当管理,并优化了手术前后的护理流程。

结论

综合保温与细致护理相结合的应用提高了围手术期护理的整体质量。

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本文引用的文献

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Efficacy of esketamine for the treatment of postpartum depression and pain control following cesarean section: a randomized, double-blind, controlled clinical trial.氯胺酮治疗剖宫产术后产后抑郁及疼痛的疗效:一项随机、双盲、对照临床试验。
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Maternal and perinatal outcomes of women with vaginal birth after cesarean section compared to repeat cesarean birth in select South Asian and Latin American settings of the global network for women's and children's health research.在全球妇女和儿童健康研究网络选定的南亚和拉丁美洲地区,剖宫产术后经阴道分娩与再次剖宫产的产妇及围产期结局比较
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Low-dose esketamine with sufentanil for postcesarean analgesia in women with gestational diabetes mellitus: a prospective, randomized, double-blind study.舒芬太尼复合小剂量氯胺酮用于妊娠期糖尿病产妇剖宫产术后镇痛的前瞻性随机双盲研究。
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Associations of maternal pre-pregnancy BMI and gestational weight gain with the risks of adverse pregnancy outcomes in Chinese women with gestational diabetes mellitus.中国妊娠期糖尿病女性的孕前 BMI 和孕期体重增加与不良妊娠结局风险的相关性研究。
BMC Pregnancy Childbirth. 2023 Jun 3;23(1):414. doi: 10.1186/s12884-023-05657-8.
6
The Relationship Between Pre-Operative Glycosylated Haemoglobin and Opioid Consumption After Caesarean Section in Women With Gestational Diabetes Mellitus.妊娠期糖尿病产妇剖宫产术后糖化血红蛋白与阿片类药物消耗的关系。
Front Endocrinol (Lausanne). 2022 Jun 28;13:910914. doi: 10.3389/fendo.2022.910914. eCollection 2022.
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