Application effect of clinical care path in pregnant women with gestational diabetes

Abstract

Objective To investigate the value of clinical care path in pregnant women with gestational diabetes. Methods Eighty pregnant women with gestational diabetes were selected and randomly divided into the observation group (n=40) and the control group (n=40). The observation group was carried out the clinical nursing care path, while the control group used the conventional care method. The results were presented by comparing the health education, patients’ satisfaction, child delivery mode, postpartum hemorrhage, breastfeeding, and blood glucose control status. Results The fasting blood glucose, thirty minutes before and two hours after meal glucose, and the midnight glucose in the observation group were (4.61±0.43), (4.21±0.89), (6.22±0.21) and (4.92±0.73)mmol/L, respectively. Those in the control group were (5.72±3.20), (5.85±2.42), (7.68±2.95) and (6.39±3.18)mmol/L. The glucose values were significantly reduced (t=2.174 3, 4.022 6, 3.122 2, 2.849 5, respectively; P 0.05). In the observation group, two patients (5.00%) had postpartum hemorrhage and thirty-eight patients (95.00%) took breast feeding; while in the control group, twelve patients (30.00%) had postpartum hemorrhage and twenty-nine patients (72.50%) took breast feeding. The differences were significant (χ2=8.658 0, 7.439 7, respectively; P<0.05). The compliance in the observation group was significantly higher than that in the control group (U=2.914 4, P<0.01). And the passing rate of health education (χ2=23.809 5, P<0.01) and the re-visiting rate (U=2.835 3, P<0.01) in the observation group were also significantly higher than those in the control group. Conclusions Clinical care path can improve the nursing care treatment and patients’ satisfaction, and it is worthy of promotion. Key words: Obstetrical nursing; Diabetes, gestational; Pregnant women; Compliance