Effects of continuous care based on structure-process-result quality evaluation in patients with gestational diabetes mellitus

Abstract

Objective To explore the effects of continuous care based on structure-process-result quality evaluation in patients with gestational diabetes mellitus (GDM) . Methods Totally 106 patients with GDM hospitalized in The First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected and divided into research (n=53) and control (n=53) groups according to the time of bookbuilding. Patients in the control group received routine nursing care, while patients in the research group received continuous care based on structure-process-result quality evaluation. Self-Depression Scale (SDS) , Self-Anxiety Scale (SAS) , Medical Coping Modes Questionnaire (MCMQ) , The Summary of Diabetes Self-Care Activities Measure (SDSCA-6) and the self-designed Nursing Work Satisfaction Scale were used to investigate the two groups 1 month before and after intervention. The incidence rate of adverse pregnancy outcomes was followed up in both groups. Results The SDS and SAS scores as well as MCMQ scores in terms of submission and avoidance in the research group was lower than those in the control group, while their MCMQ scores in terms of facing, SDSCA-6 scores in terms of exercise, diet and compliance behavior as well as nursing work satisfaction were higher than those in the control group 1 month after intervention, and there was statistically significant difference between the two groups (P<0.05) . According to the follow-ups, the incidence rate of adverse pregnancy outcome in the research group was lower than that in the control group (P<0.05) . Conclusions Continuous care based on structure-process-result quality evaluation, when applied in patients with GDM, can ameliorate their negative emotions, enhance their self-management ability, improve their coping modes, reduce their adverse pregnancy outcomes, and boost the nursing work satisfaction. Key words: Gestational diabetes mellitus; Anxiety; Depression; Coping modes; Self-management; Pregnancy outcome; Continuous care; Structure-process-result quality evaluation