Application of personalized nutrition guidance combined with health education in perinatal health care of patients with gestational diabetes mellitus
Objective To explore the effect of personalized nutrition guidance combined with health education in perinatal health care of patients with gestational diabetes mellitus(GDM).Methods A total of 100 GDM patients ad-mitted to Henan Second People's Hospital from January 2021 to January 2024 were prospectively selected and divided into an observation group and a control group according to random number table method,with 50 patients in each group.Patients in the control group received conventional nutrition guidance and health education,and those in the observation group received personalized nutrition guidance and health education,until the termination of pregnancy.The changes of fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPG),and Diabetes Self-care Scale(DSCS)were com-pared between the two groups before intervention and after intervention.The incidence of complications after delivery(such as polyhydramnios,postpartum hemorrhage,and vaginal infection)and the incidence of adverse neonatal out-comes(such as macrosomia,preterm infants,low body weight infants,neonatal asphyxia,and hypoglycemia)were com-pared between the two groups.Results Before intervention,there was no statistically significant difference in FBG and 2 hPG between the two groups of patients(P>0.05);after intervention,the FBG and 2 hPG levels of the observation group were(5.26±0.54)mmol/L and(6.87±0.54)mmol/L,respectively,which were significantly lower than(5.78±0.61)mmol/L and(7.40±0.63)mmol/L in the control group(P<0.05).Before intervention,there was no statistically significant difference in DSCS scores between the two groups of patients(P>0.05);after intervention,the DSCS scores for diet control,regu-lar exercise,and blood glucose monitoring in the observation group were(19.52±1.68)points,(10.12±1.55)points,and(10.18±1.69)points,respectively,which were significantly higher than(15.74±1.52)points,(8.85±1.49)points,and(8.96±1.55)points in the control group(P<0.05).The incidence of complications in the observation group was 6.00%,which was significantly lower than 20.00%in the control group(P<0.05).The total incidence of adverse neonatal out-comes in the observation group was 8.00%,which was significantly lower than 24.00%in the control group(P<0.05).Conclusion Personalized nutrition guidance combined with health education have obvious effects in the perinatal health care of GDM patients,which can effectively control blood sugar,improve patients'self-management behavior,and reduce the incidence of complications after delivery and adverse neonatal outcomes,which is worthy of clinical pro-motion and application.
万方数据
维普
