Volume 29, Issue 3
DOI: 10.24205/03276716.2020.908
Effects of Comprehensive Nursing Interventions on HbAlc Levels and Pregnancy Outcomesi Patients with Gestational Diabetes Mellitus
Abstract
Objective: This paper aimed at exploring the effects of comprehensive nursing (CN) interventions on HbAlc levels and pregnancy outcomes in patients with gestational diabetes mellitus (GDM)
Methods: Seventy-two GDM patients admitted to our hospital from April 2017 to September 2019 were enrolled as research objects in this experiment. Those receiving routine nursing were in a control group (n=35), whereas those receiving CN were in a study group (n=37). They were observed with respect to their HbAlc and fasting plasma glucose (FPG) expression before and after nursing, pregnancy outcomes, Self-Rating Anxiety Scale (SAS) scores, Hamilton Depression Rating Scale (HAMD) scores, 8-item Morisky Medication Adherence Scale (MMAS-8) scores, 36-Item Short-Form Health Survey (SF-36) scores and scores of satisfactions with the nursing contents in our hospital. Results: After nursing, serum HbAlc and FPG expression in the study group was remarkably lower than that in the control group (P<0.05). After nursing, compared with those in the control group, patients in the study group had remarkably lower SAS scores (P<0.05), remarkably lower HAMD scores (P<0.05), remarkably higher MMAS-8 scores (P<0.05), and remarkably higher SF-36 scores (P<0.05). The nursing satisfaction with medical staff was 97.30% in the study group, remarkably higher than 51.43% in the control group (P<0.05). The incidence of adverse events in the study group was remarkably lower than that in the control group (P<0.05)
Conclusion: For GDM patients, CN can increase HbAlc and FPG expression, reduce negative emotions and adverse events of pregnancy outcomes, and improve quality of life.
Keywords
gestational diabetes mellitus; comprehensive nursing interventions; HbAlc; pregnancy outcomes