在手术室结合全面的热护理和注重细节的护理来管理妊娠糖尿病。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-09-06 DOI:10.12998/wjcc.v12.i25.5706
Ya-Ya Pan, Qiu-Xiang Zhang
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引用次数: 0

摘要

背景:随着妊娠期糖尿病(GDM)发病率的增加,其对剖宫产手术的影响已引起广泛关注。全方位保温护理和细节护理对该类患者群体意义重大,可有效提高手术室护理质量。目的:探讨综合使用全面保温护理的效果:方法:将 2023 年 4 月至 2024 年 2 月期间在我院接受剖宫产手术的 GDM 患者纳入本次回顾性研究。参与者被随机分配到两组:观察组和对照组。采用全方位保温护理策略,包括术前、术中、术后体温维持。此外,观察组还实施了血糖监测、伤口护理、心理辅导等细节护理措施:对比观察发现,全方位保温护理可有效预防产妇因手术导致的低体温发生率,降低感染风险,促进血液循环。实施细节护理后,通过对血糖水平波动进行适当处理,并根据患者特点优化手术前后的护理流程,提高了产妇的满意度,降低了并发症的发生率:综合保温与细节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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Combination of comprehensive thermal care and detail-oriented nursing care in the operating room for managing gestational diabetes mellitus.

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 via 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.

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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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