Efeito da intervenção de enfermagem com objetivos diversificados no período perinatal de pacientes com diabetes mellitus gestacional

Abstract

Abstract Objective To assess the effect of goal diversified nursing intervention on the perinatal period of patients with gestational diabetes mellitus (GDM). Methods In this prospective study, 96 patients with GDM treated from February 2020 to February 2023 were selected and randomly divided into observation group (n=48) and control group (n=48). The patients in control group were given routine nursing, based on which those in observation group received goal-oriented diversified nursing intervention. The incidence rates of perioperative complications and adverse neonatal outcomes, and blood glucose indicators, the Chinese Version of the Diabetes Management Self-efficacy Scale (C-DMSES) score and the Diabetes Specific Quality of Life Scale (DSQL) score before and after intervention were compared between the two groups. Results The levels of fasting plasma glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin in the observation group during delivery were lower than those in the control group and before intervention (P<0.05). The C-DMSES score in each dimension in the observation group after intervention was higher than that in the control group and before intervention (P<0.05). After intervention, the scores of treatment, physiology, psychology and social relationship in DSQL in the observation group were significantly lower than those in the control group and before intervention (P<0.05). The incidence rate of perioperative complications in the observation group (10.42%) was significantly lower than that in the control group (31.25%) (P<0.05). Conclusion Goal-oriented diversified nursing intervention can effectively control the blood glucose indicators, improve self-management ability, reduce the incidence of perioperative complications and adverse neonatal outcomes.