Application of teach-back method on blood glucosed and compliance for patients′ gestational diabetes mellitus
10.3760/cma.j.issn.1672-7088.2019.21.006
- VernacularTitle: 回授法在妊娠期糖尿病患者血糖及治疗依从性中的应用
- Author:
Xiaona SUN
1
;
Chao ZHANG
2
;
Weihong ZHANG
3
;
Liping YAO
4
;
Xuemei JI
5
Author Information
1. Emergency and Critical Care Unit of Qingdao Central Hospital, Qingdao 266000, China
2. Endocrinology Department of Qingdao Central Hospital, Qingdao 266000, China
3. Radiology Department of Qingdao Central Hospital, Qingdao 266000, China
4. Nursing Department of Qingdao Municipal Hospital, Qingdao 266000, China
5. Obstetric Department of Qingdao Central Hospital, Qingdao 266000, China
- Publication Type:Clinical Trail
- Keywords:
Teach- back;
Gestational diabetes mellitus;
Blood glucose;
Compliance
- From:
Chinese Journal of Practical Nursing
2019;35(21):1628-1632
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of teach-back on health education for patients′ gestational diabetes mellitus.
Methods:A total of 90 pregnant women with gestational diabetes mellitus from obstetrics outpatient were recruited and randomly assigned to either case or control group. The case and control groups received the same treatment and health education, the only difference was teach-back method in the case group,to compare blood glucose, compliance and outcome of pregnancy.
Results:After the intervention, fasting blood glucose (FPG), 2h postprandial blood glucose (2h-ppg) and glycosylated hemoglobin (HbA1c) in the case group were respectively (4.75±0.30) mmol/L, (5.69±0.74) mmol/L, (5.15±0.28)%, control group were respectively (5.01±0.30) mmol/L, (6.15±0.70) mmol/L, (5.68±0.33)%. The difference was statistically between the two groups (t=-4.631、-3.019、-8.020, P<0.05 or 0.01). The treatment compliance rate, gestational hypertension, hyperhydramnios, cesarean section and macrosomia rate in the case group were respectively 93.2% (41/44), 6.8% (3/44), 11.4% (5/44), 13.6% (6/44), 2.3% (1/44), control group were respectively 81.4% (35/43), 23.3% (10/43), 30.2% (13/43), 32.6% (14/43), 14.0% (6/43), the difference was statistically between the two groups (U=570.000, χ2=4.398-5.775, P<0.01 or 0.05).
Conclusion:Teach-back method is methodis a good health method and to reduce glucose level and improve Compliance of therapy. It is worthy of promotion.
