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| Effect of nursing intervention and self-management in patients with gestational diabetes mellitus based on the model of nursing and patient compliance |
| BO Lu GE Dongling |
| Department of Endocrinology, the First People’s Hospital of Huainan City, Anhui Province, Huainan 232000, China |
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Abstract Objective To explore the effect of nursing intervention and self-management for patients with gestational diabetes based on the model of nursing and patient compliance, and to provide reference for the nursing methods of clinical patients with gestational diabetes. Methods A total of 80 patients with gestational diabetes mellitus who were treated in the Department of Endocrinology of the First People’s Hospital of Huainan City, Anhui Province from January 2018 to December 2020 were selected as the subjects. All patients were divided into study group (40 cases) and control group (40 cases) according to random number table method. The control group was given routine gestational diabetes mellitus care nursing methods, and the research group was given nursing intervention based on the standard model of nursing and patient. The blood glucose compliance rate, blood glucose biochemical indexes and self-management efficacy before and after nursing were compared between the two groups. Results After nursing, the compliance rates of fasting blood glucose (FPG), 2 h postprandial blood glucose (2hPBG), HBA1c and 2hPBG after dinner in the study group were significantly higher than those in the control group (P ＜ 0.05). The scores of blood glucose detection, medication as prescribed by doctors, foot care, diet control, regular exercise, and prevention and treatment of hypoglycemia in both groups were significantly lower than those before intervention, in addition, the scores of blood glucose detection, medication as prescribed by doctors, foot care, diet control, regular exercise, and prevention and treatment of hypoglycemia in the study group were significantly lower than those in the control group (P ＜ 0.05). FPG, 2hPBG and HBA1c in the two groups were lower than before intervention, FPG, 2hPBG and HBA1c in the study group were significantly lower than those in the control group (P ＜ 0.05). Conclusion Nursing intervention based on the nursing and patient target model can effectively improve the control efficiency of blood glucose level in patients with gestational diabetes mellitus and improve the efficacy of self-management of patients.
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