Welcome to visit Zhongnan Medical Journal Press Series journal website!

Home Articles Vol 36,2023 No.7 Detail

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

Published on Aug. 01, 2023Total Views: 1848 times Total Downloads: 430 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]

  • Abstract
  • Full-text
  • References
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.

Full-text
Please download the PDF version to read the full text: download
References

1.陈玲, 陈文玮, 陈黎, 等. 妊娠期糖尿病经产妇口服葡萄糖耐量试验时间-血糖曲线的曲线下面积与妊娠结局的相关性[J]. 实用临床医药杂志, 2021, 25(19): 98-100, 106. [Chen L, Chen WW, Chen L, et al. Correlations between area under curve of time-glucose curve of oral glucose tolerance test and perinatal outcomes in mul-tiparas with gestational diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 98-100, 106.] DOI: 10.7619/jcmp.20212937.

2.Homayouni A, Bagheri N, Mohammad-Alizadeh-Charandabi S, et al. Prevention of gestational diabetes mellitus (GDM) and probiotics: mechanism of action: a review[J]. Curr Diabetes Rev, 2020, 16(6): 538-545. DOI: 10.2174/1573399815666190712193828.

3.呼改琴, 黄绡珕. 妊娠期糖尿病患者分娩前血糖控制水平与剖宫产术后新生儿血糖水平的相关性分析[J]. 医学临床研究, 2023, 40(2): 165-167, 172. [Hu GQ, Huang XL. Correlation analysis between blood glucose control level before delivery and blood glucose level of newborns after cesarean section in pregnant women with diabetes[J]. Journal of Clinical Research, 2023, 40(2): 165-167, 172.] DOI: 10.3969/j.issn.1671-7171.2023.02.002.

4.李璐, 邹怀宾, 徐曼曼, 等. 慢性HBV感染孕妇发生妊娠期糖尿病的危险因素及其对母婴结局的影响[J]. 临床肝胆病杂志, 2021, 37(10): 2303-2307. [Li L, Zou HB, Xu MM, et al. Risk factors of gestational diabetes in pregnant women with chronic HBV infection and their impact on maternal and infant outcomes[J]. Journal of Clinical Hepatology, 2021, 37(10): 2303-2307.] DOI: 10.3969/j.issn.1001-5256.202110.009.

5.Berger H, Gagnon R, Sermer M, et al. 2016 SOGC临床实践指南: 妊娠期糖尿病[J]. 中国全科医学, 2016, 19(32): 3907-3908. [Berger H, Gagnon R, Sermer M, et al. 2016 SOGC clinical practice guideline: gestational di-abetes mellitus[J]. Chinese General Practice, 2016, 19(32): 3907-3908.] DOI: 10.1016/j.jogc.2016.04.002.

6.Bedell S, Hutson J, de Vrijer B, et al. Effects of maternal obesity and gestational diabetes mellitus on the placenta: current knowledge and targets for therapeutic interventions[J]. Curr Vasc Pharmacol, 2021, 19(2): 176-192. DOI: 10.2174/1570161118666200616144512.

7.黄俊巧, 李映桃, 刘梦玥, 等. 2022年中国妊娠期高血糖诊治指南与美国糖尿病学会妊娠合并糖尿病诊治指南比较[J]. 国际妇产科学杂志, 2022, 49(6): 691-699. [Huang JQ, Li YT, Liu MY, et al. Guide interpretation/contrast the guideline of gestational hyperglycemia from CMA and the guideline of gestational diabetes mellitus from ADA in 2022[J]. Journal Of International Obstetrics And Gynecology, 2022, 49(6): 691-699.] DOI: 10.12280/gjfckx.20220220262.

8.张靓怡, 姜振环, 王玲. 基于临床护理路径的干预措施在胰岛素泵治疗老年糖尿病护理中的应用效果分析[J]. 山西医药杂志, 2021, 50(24): 3431-3434. [Zhang LY, Jiang ZH, Wang L. Analysis of the effectiveness of clinical care pathway-based interventions in insulin pump treatment of diabetes care in the elderly[J]. Shanxi Medical Journal, 2021, 50(24): 3431-3434.] DOI: 10.3969/j.issn.0253-9926.2021.24.032.

9.倪爱青, 何大强, 杨金军. 妊娠期糖尿病患者孕期甲状腺功能和贫血指标的变化及与母婴结局的相关性[J]. 中国妇幼保健, 2022, 37(2): 193-196. [Ni AQ, He DQ, Yang JJ. Changes of thyroid function and anemia indicators in patients with gestational diabetes mellitus and the correlations with maternal and fetal outcomes[J]. Maternal & Child Health Care of China, 2022, 37(2): 193-196.] DOI: 10.19829/j.zgfybj.issn.1001-4411.2022.02.001.

10.冯杏君, 杨彩玲, 冯贻君. 妊娠期糖尿病患者实施基于一日门诊的综合管理模式的效果及对母婴结局的影响[J]. 浙江医学, 2021, 43(13): 1467-1469, 1478. [Feng XJ, Yang CL, Feng YJ. Effect of implementing an integrated management model based on one-day clinic in gestational diabetes and its impact on maternal and infant outcomes[J]. Zhejiang Medical Journal, 2021, 43(13): 1467-1469, 1478.] DOI: 10.12056/j.issn.1006-2785.2021.43.13.2020-4429.

11.Tsakiridis I, Giouleka S, Mamopoulos A, et al. Diagnosis and management of hestational diabetes mellitus: an overview of national and international guidelines[J]. Obstet Gynecol Surv, 2021, 76(6): 367-381. DOI: 10.1097/OGX.0000000000000899.

12.郭丽花. 协同护理干预策略对肥胖伴妊娠期糖尿病患者母婴结局及产后心理状态的影响[J]. 中国药物与临床, 2021, 21(10): 1794-1796. [Guo LH. Effect of collaborative nursing intervention strategies on maternal and infant outcomes and post-partum psychological status in obese patients with gestational diabetes[J]. Chinese Remedies & Clinics, 2021, 21(10): 1794-1796.] DOI: 10.11655/zgywylc2021.10.072.

13.陈钰仪, 谢健, 梁秀娥. 基于"信息—动机—行为技巧"模型的护理干预对妊娠糖尿病患者母婴分娩结局的影响[J]. 实用医学杂志, 2022, 38(14): 1731-1735. [Chen YY, Xie J, Liang XE. Impact of nursing intervention based on information-motivation-behavioral skills model onmaternal-infant delivery outcomesinpatients with gestational diabetes mellitus[J]. The Journal of Practical Medicine, 2022, 38(14): 1731-1735.] DOI: 10.3969/j.issn.1006-5725.2022.14.004.

14.李彩菲, 陈玉静, 刘通. 多元化社会支持的护理干预在妊娠期糖尿病患者围生期中的应用[J]. 检验医学与临床, 2022, 19(6): 831-833. [Li CF, Chen YJ, Liu T. Application of a diversified social-supported care intervention in the perinatal peri-od of patients with gestational diabetes[J]. Laboratory Medicine and Clinic, 2022, 19(6): 831-833.] DOI: 10.3969/j.issn.1672-9455.2022.06.031.

15.张琳, 龙俊宏, 张霆, 等. 基于多学科糖尿病护理团队的"互联网+"远程管理模式构建及其在妊娠糖尿病患者管理中的应用[J]. 临床与病理杂志, 2022, 42(5): 1201-1209. [Zhang L, Long JH, Zhang T, et al. Construction of "in-ternet plus" remote management mode based on multidisciplinary diabetes care team and its application in management of gestational diabetes mellitus patients[J]. Journal of Clinical and Pathological Research, 2022, 42(5): 1201-1209.] DOI: 10.3978/j.issn.2095-6959.2022.05.030.

16.杨红云. 中医临床护理路径对老年糖尿病肾病患者疗效及血糖水平、体质指数的影响[J]. 西部中医药, 2020, 33(1): 136-139. [Yang HY. Influence of TCM clinical nursing pathway on clinical effects, blood glucose level and body mass index of senile pa-tients with diabetic nephropathy[J]. Western Journal of Traditional Chinese Medicine, 2020, 33(1): 136-139.] DOI: 10.12174/j.issn.1004-6852.2020.01.36.

17.周翠玉, 柳韦华. 基于临床护理路径的优质护理干预在合并2型糖尿病老年骨科手术患者中的应用研究[J]. 检验医学与临床, 2019, 16(7): 870-873. [Zhou CY, Liu WH. Applicative research of high quality nursing intervention based on clinical nursing path in elderly orthopaedic surgery patients with type 2 diabetes mellitus[J]. Laboratory Medicine and Clinic, 2019, 16(7): 870-873.] DOI: 10.3969/j.issn.1672-9455.2019.07.002.

18.杨夏, 席慧菊. 综合护理干预对青春发育期糖尿病患儿治疗依从性及生活质量的影响[J]. 贵州医药, 2021, 45(10): 1669-1670. [Yang X, Xi HJ. Influence of comprehensive nursing intervention on treatment compliance and quality of life of children with diabetes in adolescence[J]. Guizhou Medical Journal, 2021, 45(10): 1669-1670.] DOI: 10.3969/j.issn.1000-744X.2021.10.092.

Popular papers
Last 6 months