Effect of intervention model based on comprehensive nutrition management on glucose and lipid metabolism and pregnancy outcome of gestational diabetes mellitus patients
10.3760/cma.j.cn115822-20231229-00079
- VernacularTitle:采用综合营养管理的干预模式对妊娠期糖尿病患者糖脂代谢及妊娠结局的影响研究
- Author:
Chenxia ZHANG
1
;
Congcong JIN
;
Xiaofang WEI
;
Xianmei CUI
;
Xiaoqin CHEN
;
Shiwei LIU
Author Information
1. 山西白求恩医院 山西医学科学院 山西同济医院 山西医科大学第三医院内分泌科，太原 030032
- Keywords:
Gestational diabetes mellitus;
Integrated nutrition management;
Nutrition intervention;
Glucose and lipid metabolism;
Pregnancy outcome
- From:
Chinese Journal of Clinical Nutrition
2024;32(1):8-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of intervention model based on comprehensive nutrition management on glucose and lipid metabolism and pregnancy outcome in patients with gestational diabetes mellitus (GDM).Methods:104 GDM patients admitted to Shanxi Bethune Hospital from February 2022 to March 2023 were randomly divided into control group and experimental group, with 52 cases in each group. The control group implemented routine management measures and nutrition guidance, while the experimental group implemented an intervention model based on comprehensive nutrition management on the basis of routine management. The indexes of glucose and lipid metabolism (glycosylated hemoglobin, fasting blood glucose, 2 h postprandial blood glucose, total cholesterol, triglyceride and low density lipoprotein cholesterol), pregnancy outcome, self-management ability and self-efficacy were compared between the two groups before and after intervention.Results:Before the intervention, there was no significant difference in general situation, glucose and lipid metabolism index, self-management ability and self-efficacy between the two groups ( P>0.05). After the intervention, the level of glucose and lipid metabolism index in the experimental group was significantly lower than that in the control group, with statistical significance ( P<0.05). The incidence of adverse pregnancy outcome in the experimental group was significantly lower than that in the control group, with statistical significance ( P<0.05). The scores of self-management ability and self-efficacy in the experimental group were significantly higher than those in the control group, with statistical significance ( P<0.05). Conclusion:The intervention model based on comprehensive nutrition management can effectively improve the glucose and lipid metabolism index and pregnancy outcome of GDM patients, and significantly improve their self-management ability and self-efficacy related to nutrition management, which has high clinical application and promotion value.
