Application effects of nutritional nursing under risk management mode in patients with gestational diabetes mellitus
Objective:To observe application effects of nutritional nursing under risk management mode in patients with gestational diabetes mellitus(GDM).Methods:A prospective study was conducted on 110 GDM patients admitted to the hospital from 2020 to 2022.They were divided into control group and observation group according to the random number table method,55 cases in each.The control group was given routine nursing,while the observation group was given the nutritional nursing under risk management mode on the basis of that of the control group.The levels of blood glucose indexes[fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c)],the weight gain during pregnancy,the incidence of adverse neonatal outcomes,the incidence of adverse pregnancy outcomes,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the levels of FPG,2hPG and HbA1c in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The level of weight gain during pregnancy in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The incidence of adverse neonatal outcomes in the observation group was 5.45%(3/55),which was lower than 23.64%(13/55)in the control group,and the difference was statistically significant(P＜0.05).The incidence of adverse pregnancy outcomes in the observation group was 9.09%(5/55),which was lower than 25.45%(14/55)in the control group,and the difference was statistically significant(P＜0.05).Further,the nursing satisfaction of the observation group was 90.91%(50/55),which was higher than 70.91%(39/55)of the control group,and the difference was statistically significant(P＜0.05).Conclusions:The nutritional nursing under risk management mode in the GDM patients can reduce the levels of blood glucose indexes,the incidence of adverse neonatal outcomes and the incidence of adverse pregnancy outcomes,improve the weight gain during pregnancy,and improve the nursing satisfaction.Moreover,it is superior to the routine nursing.
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