Objective To explore the effect of nursing intervention during pregnancy on pregnancy outcome of gestational diabetes mellitus(GDM).
Methods From January to October 2017, 360 pregnant women with GDM were selected for intervention during the period between the diagnosis of gestational diabetes mellitus and the termination of pregnancy, and a simple random sampling method was used to divide the subjects into two groups; intervention and control.The control group received routine health education and questionnaire survey of GDM related knowledge.In addition to the above, the intervention group heard group lectures in maternity schools and in obstetrical outpatient clinics.And afterwards, individualized health education was offered every 1-2 weeks until delivery according to their blood sugar control situation.A questionnaire survey on GDM was conducted before the intervention, and the questionnaire of knowledge about GDM completed after 3 interventions.After the termination of pregnancy, the two groups of GDM pregnant women were compared in their differeces regarding the awareness rate of related knowledge, blood sugar control, and the incidence of complications.
Results In the control group, the awareness rate of GDM was 32.95%, and in the intervention group 93.89%.The contentment rate of fasting blood glucose control in the control group was 56.57%, and in the intervention group 87.78%.The contentment rate of 2 h postprandial blood glucose control in the control group was 53.33%, in the intervention group 79.44%.The incidence of perinatal complications in GDM pregnant women in the control group was 31.11%, and in the intervention group 16.11%.The incidence of perinatal complications of GDM in the control group was 21.11%, and in the intervention group 11.67%.
Conclusion Individualized nursing intervention during pregnancy can improve the awareness rate of related knowledge for pregnant women with GDM, control their ideal blood sugar, reduce complications and improve pregnancy outcomes.
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