Volume 29, Issue 5, 2020
DOI: 10.24205/03276716.2020.1070
Effects of Psychological Nursing Combined with Exercise Therapy on Patients with Gestational Diabetes Mellitus
Abstract
Objective: To assess the effects of psychological nursing combined with exercise therapy on patients with gestational diabetes mellitus.
Methods: A total of 80 patients with gestational diabetes mellitus who were treated in our hospital from January 2017 to June 2019 were enrolled and randomly divided into two groups (n=40 per group) using a random number table. Patients in control group were given routine nursing, while those in observation group were given psychological nursing and exercise therapy based on the treatment in control group. The blood glucose levels, insulin resistance index, incidence rate of adverse pregnancy outcomes, negative emotion scores and nursing satisfaction were compared between the two groups.
Results: In contrast with those before nursing, the levels of fasting blood glucose and 2-hour postprandial blood glucose and insulin resistance index declined after nursing in both groups (P<0.05), and they were lower in observation group than those in control group after nursing (P<0.05). The incidence rate of adverse pregnancy outcomes was lower in observation group than that in control group (5.00% vs. 20.00%, P<0.05). Compared with those before nursing, the SAS and SDS scores dropped in both groups after nursing (P<0.05), and they were lower in observation group than those in control group (P<0.05). The total satisfaction rate of nursing was higher in observation group than that in control group (95.00% vs. 80.00%, P<0.05).
Conclusion: The application of psychological nursing combined with exercise therapy in treating gestational diabetes mellitus can effectively control the blood glucose level during pregnancy, reduce insulin resistance in the body, decrease adverse pregnancy outcomes, and relieve the negative emotion of patients, making the patients more satisfied with the nursing service.
Keywords
gestational diabetes mellitus; psychological nursing; exercise therapy