Effect of self-management diary on blood glucose control and pregnancy outcomes of pregnant women with gestational diabetes mellitus
10.7619/jcmp.201710037
- VernacularTitle:自我管理日记对妊娠期糖尿病孕妇血糖控制与妊娠结局的影响研究
- Author:
Wei LIU
1
;
Shujuan LI
;
Junhong CHEN
;
Sijia CHANG
Author Information
1. 河北省唐山市妇幼保健院 普外科
- Keywords:
self-management diary;
gestational diabetes mellitus;
pregnant women;
blood glucose control;
pregnancy outcomes
- From:
Journal of Clinical Medicine in Practice
2017;21(10):124-126,133
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of self-management diary on blood glucose control and pregnancy outcomes in pregnant women with gestational diabetes mellitus.Methods The clinical data of 72 pregnant women with gestational diabetes mellitus admitted in our hospital were retrospectively analyzed.According to the different nursing intervention patterns, the patients were divided into control group and observation group.Pregnant women of two groups were given supportive treatment of conventional symptomatic drugs.Pregnant women in the control group were given routine general nursing interventions to guide their healthy dietary in their families, and the pregnant women in observation group were given self-management diary nursing intervention, therapeutic efficacy in blood glucose control compliance rate and pregnancy outcomes were compared.Results The levels fasting blood glucose, Postprandial 2 h blood glucose and glycosylated hemoglobin after intervention in two groups were statistically significant (P<0.05).The control level of blood glucose in observation group was better than the control group(P<0.05).The level of serum C-peptide (fasting serum C-peptide and postprandial 2 h peptide) in the observation group was significantly better than that in the control group (P <0.05).The cesarean section rate and mother-infant health indices of the observation group were significantly better than that in the control group, the differences were statistically significant(P<0.05).Conclusion Nursing intervention model is of great significance to improve the nursing quality of the whole hospital.Implementation of self-intervention model of pregnant women can not only effectively control gestational diabetes mellitus of pregnant women and significantlyreduce rate of cesarean section;so it is worthy of clinical application.