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The influence of clinical nursing pathway on newly diagnosed patients with gestational diabetes mellitus

Published on Aug. 01, 2023Total Views: 1494 times Total Downloads: 365 times Download Mobile

Author: Ning LI Lei WANG Xiao-Lu YAO

Affiliation: Department of Obstetrics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China

Keywords: Gestational diabetes mellitus Clinical nursing pathway Blood glucose Compliance

DOI: 10.12173/j.issn.1004-4337.202306063

Reference: Li N, Wang L, Yao XL. The influence of clinical nursing pathway on newly diagnosed patients with gestational diabetes mellitus[J]. Journal of Mathematical Medicine, 2023, 36(7): 537-542. DOI: 10.12173/j.issn.1004-4337.202306063.[Article in Chinese]

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Abstract

Objective  To analyze the application effect of clinical nursing pathway on newly diagnosed gestational diabetes mellitus patients.

Methods  The patients with di-abetes during pregnancy who were included in the department of obstetrics of The First Affiliated Hospital of Zhengzhou University from June 2019 to June 2021 were divided into a control group (n=43) and an intervention group (n=43). The control group was given routine care and the intervention group was treated with clinical nursing pathway. The level of glycemic control, the hospitalization time, cost, nursing satisfaction and com-pliance with glycemic control between two groups were compared.

Results  After in-tervention, the fasting blood glucose compliance rate (95.35% vs. 72.09%, P=0.003), the blood glucose compliance rate at 2 hours after breakfast (97.67% vs. 91.09%, P=0.001), the 1-hour blood glucose compliance rate before bedtime (95.35% vs. 69.77, P=0.001) and the glycated hemoglobin compliance rate (97.67% vs. 76.74%, P=0.004) in the intervention group were higher than those in the control gourp. The hospitalization time of the intervention group was shorter than that of the control group (8.45±1.32 vs. 11.25±1.87, P<0.001), the hospitalization cost was lower than that of the control group (3 247.88±347.52 vs. 4 128.96±351.44, P<0.001), and the nursing satisfaction score was higher than that of the control group (92.54±2.66 vs. 90.12±1.04, P<0.001). After intervention, the total rate of blood glucose control compliance in the intervention group was higher than that in the control group (95.35% vs. 81.40%, P=0.044).

Conclusion  The clinical nursing pathway significantly improves the glucose level of newly diagnosed pregnant diabetes patients compared with conventional nursing, shortens the hospi-talization time of patients, and plays a significant role in improving the compliance of patients with glycemic control.

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References

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