|
Abstract Objective To investigate the application effect of one-day ward management in patients with gestational diabetes mellitus (GDM).Methods The clinical data of 86 patients with GDM who were treated in Dalian Maternal and Child Health Hospital,Liaoning Province from June 2017 to December 2019 was retrospectively analyzed,and they were divided into the control group (42 cases) and the observation group (44 cases) according to nursing methods.The control group was given routine nursing intervention,and the observation group was given one-day ward management intervention.The fasting blood glucose at admission,1 month after delivery and the blood glucose level 2 h after meal and self-efficacy and adverse pregnancy outcomes were compared between the two groups.Results The fasting blood glucose 1 month after delivery and the blood glucose 2 h after meal in the two groups were lower than that at admission,the differences were statistically significant (P＜0.05);the fasting blood glucose level in the two groups 1 month after delivery was compared,the difference was not statistically significant (P＞0.05).The blood glucose 2 h after meal of the observation group was lower than that of the control group,the difference was statistically significant (P＜0.05).The general self-efficacy scale (GSES) scores of the two groups 1 month after delivery were higher than those at admission,the differences were statistically significant (P＜0.05);the GSES score of the observation group was higher than that of the control group 1 month after delivery,the difference was statistically significant (P＜0.05).The total incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion The one-day ward management method is used to intervene in patients with GDM,which can effectively control the patient′s postprandial blood glucose,improve the patient′s self-efficacy，and improve the adverse pregnancy outcome.It has a relatively good intervention effect and is worthy of clinical promotion.
|
