Objective: To investigate the quality of life and its influencing factors among patients with gestational diabetes mellitus (GDM), so as to provide insights into the improvements in the quality of life among patients with GDM. Methods: GDM patients admitted to Department of Obstetrics and Gynecology, Hangzhou First People's Hospital Affiliated to Zhejiang University Medical School from June 2021 to June 2022 were recruited. Participants' demographics, diagnosis and treatment, sleep quality, depression and social support level were collected. Patients' quality of life was evaluated using the Quality of Life Scale for Pregnant Women with Gestational Diabetes Mellitus, and the factors affecting the quality of life were identified among patients with GDM using a multivariable linear regression model. Results: A total of 300 questionnaires were allocated, and 284 valid questionnaires were recovered, with an effective recovery rate of 94.67%. The respondents had a mean age of (32.81±4.93) years, and the mean scores for the quality of life was (92.63±14.10) points. Multivariable linear regression analysis identified depression (β'=-0.293), sleep disorder (β'=-0.177), insulin therapy (β'=-0.316), regular exercise (β'=0.272) and social support level (medium: β'=0.153; high: β'=0.381) as factor affecting the quality of life among GDM patients. Conclusions GDM patients have a low quality of life. Depression, sleep disorders, insulin therapy, and lack of exercises may cause a decline in the quality of life among GDM patients, and strong social support facilitates the improvements in the quality of life among GDM patients.

Objective:To explore the effect of solution focused approach (SFA) on breastfeeding rate and postpartum subjective well-being of primiparas with vaginal delivery.Methods:From May to December 2021, the convenient sampling was used to select 180 primiparas who underwent vaginal delivery in Department of Obstetrics in Hangzhou First People's Hospital as the research objects. Using the random block design method, they were divided into the control group and the observation group, with 90 cases in each group. The primiparas in the control group were given routine nursing care, while primiparas in the observation group were given SFA on the basis of the control group. The duration of exclusive breast feeding and the rate of breast feeding at 3 months after delivery were counted. Memorial University of Newfoundland Scale of Happiness (MUNSH) was used to evaluate the subjective well-being of patients in the two groups before and after nursing intervention, and the nursing satisfaction of the two groups was counted.Results:The breastfeeding rate of the observation group at 3 months after delivery was higher than that of the control group and the exclusive breastfeeding time was longer than that of the control group, and the differences were statistically significant ( P<0.05) . After nursing intervention, the scores of positive emotion and positive experience dimension and total score of MUNSH in the observation group were higher than those in the control group, and the scores of negative emotion and negative experience dimension were lower than those in the control group, and the differences were statistically significant ( P<0.05) . The nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant ( P<0.05) . Conclusions:SFA can effectively improve the breastfeeding rate of primiparas undergoing vaginal delivery and improve postpartum subjective well-being and nursing satisfaction of primiparas, which is worthy of clinical application.