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| Effect of the time-sensitive incentive theory-guided extended service on blood glucose control and delivery outcomes in gestational diabetes mellitus patients |
| REN Wei WANG Xinchun QIN Jiying |
| Department of Obstetrical, Xinjiang Autonomous Region People′s Hospital, Xinjiang Uygur Autonomous Region, Urumqi 83000, China |
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Abstract Objective To explore the effect of the time-sensitive incentive theory-guided extended service guided by timeliness incentive theory on blood glucose control and delivery outcome of gestational diabetes mellitus (GDM) patients. Methods Ninety-eight cases of gestational diabetes patients admitted to the outpatient department of obstetrics of Xinjiang Uygur Autonomous Region People′s Hospital from June 2016 to December 2017 were selected as the research objects. According to the random number table, they were divided into the intervention group and the control group, with 49 cases in each group. In the control group, the outpatient pregnant women′s school of Xinjiang Uygur Autonomous Region People′s Hospital has signed in for more than 6 lectures, while the intervention group was provided with the time-sensitive incentive theory-guided extended service on the basis of education in the pregnant women school. The fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, and pregnancy weight gain of patients in the two groups at the time of admission and delivery were observed, respectively, the number of cases of hyperhydramnios, premature rupture of membranes, cesarean section, neonatal hypoglycemia, macrosomia, fetal growth restriction, and neonatal respiratory distress were collected. Results After the intervention, fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin and pregnancy weight gain in the intervention group were all lower than those in the control group at admission, with statistically significant differences (P < 0.05). The incidence of hyperhydramnios, premature rupture of membranes, hypoglycemia, macrosomia and fetal growth restriction in the intervention group was lower than that in the control group, with statistically significant differences (P < 0.05). Conclusion GDM continuous care team can effectively help GDM patients control blood glucose during pregnancy, reduce the occurrence of GDM complications and reduce the occurrence of adverse pregnancy outcomes through extended services guided by the time-sensitive incentive theory, which is of great significance to the protection of maternal and infant health.
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