[摘要]目的 探讨综合护理管理对妊娠糖尿病患者血糖控制的效果。方法 选择我院2015年1月～2016年12月收治的GDM患者73例，均为初产妇。按照随机数字表法分为观察组(40例)和对照组(33例)。对照组给予常规护理干预，观察组在对照组基础上给予综合护理管理模式。主要包括心理干预、运动干预、一对一指导、预防感染、出院指导、产后指导，比较两组护理干预效果。结果 观察组患者剖宫产、2型糖尿病、糖耐量异常发生率低于对照组，GQOLI-74各项评分均高于对照组，差异有统计学意义(P<0.05)。干预前，两组患者SAS、SDS评分结果比较，差异均无统计学意义(P>0.05)；干预后观察组SAS、SDS评分低于对照组，差异有统计学意义(P<0.05)。结论 综合护理管理干预措施有有利于疾病的康复，降低剖宫产率。

    [关键词]护理；妊娠糖尿病；血糖

    [中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2017)08(a)-0185-03

    [Abstract]Objective To investigate the effect of comprehensive nursing management on blood glucose control in gestational diabetes mellitus (GDM) patients.Methods 73 cases of GDM patients admitted from January 2015 to December 2016 in our hospital were all primipara.The patients were divided into observation group (40 cases) and control group (33 cases) according to random number table method.The control group was given routine nursing intervention ......