医师、营养师、心理咨询师共同管理对妊娠糖尿病患者血糖控制及妊娠结局的影响

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Abstract Objective To investigate the effect of co-management of physicians, nutritionists and psychologists on blood glucose control and pregnancy outcome in patients with gestational diabetes mellitus (GDM).Methods A total of 120 patients with gestational diabetes mellitus who were treated and delivered in our hospital from February 2016 to December 2018 were selected as the research objects.The patients were coded in order of visit and divided into observation group and control group by random number table method, with 60 cases in each group.Routine management was adopted in the control group, while co-management of physicians, nutritionists and psychologists were used in the observation group.The fasting blood glucose, 2 h postprandial blood glucose level, treatment compliance before delivery,self-management ability, pregnancy outcomes and neonatal outcomes were compared between the two groups.Results After the intervention, fasting blood glucose and 2 h postprandial blood glucose of the two groups were lower than those before the intervention, and the differences were statistically significant (P＜0.05).After intervention, there was no statistically significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups (P＞0.05).The complete compliance rate and total compliance rate of the observation group were higher than those of the control group, and the non-compliance rate was lower than that of the control group, with statistically significant differences (P＜0.05).The scores of self-management attitude, diet compliance, exercise problems and blood glucose monitoring problems in the observation group were higher than those in the control group, with statistically significant differences (P＜0.05).The rate of natural delivery in the observation group was higher than that in the control group, and the rate of cesarean section was lower than that in the control group, with statistically significant differences (P＜0.05).The overall incidence of adverse pregnancy outcomes of puerperae in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05).The overall incidence of adverse outcomes of newborn in the observation group was lower than that in the control group, and the difference was statistically significant(P＜0.05).Conclusion Co-management of physicians, nutritionists and psychologists for specific dietary arrangements,exercise guidance, psychological counseling and blood glucose control through Wechat platform, so as to improve the compliance and self-management ability of patients with gestational diabetes mellitus and effectively reduce maternal and infant complications.

Key words： Gestational diabetes Co-management of physicians, nutritionists and psychological consultant Blood glucose control Pregnancy outcome

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	Articles by authors
	LIU Yan-li
	ZHONG Yi-chun
	CHEN Xiao-zheng
	HE Jian-min
	LIN Hui-qing
	CHEN Xiang-hua

Cite this article:

LIU Yan-li,ZHONG Yi-chun,CHEN Xiao-zheng, et al. Influence of co-management of physicians, nutritionists and psychologist on blood glucose control and pregnancy outcome in patients with gestational diabetes[J]. 中国当代医药, 2020, 27(8): 105-108转112.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I8/105

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