Effect of the internet combined with exercise-based individualized nursing intervention in patients with gestational diabetes mellitus

Abstract

Background Gestational diabetes mellitus (GDM) is the most frequent medical complication of pregnancy. This condition is manifested by glucose intolerance resulting in hyperglycemia of variable severity during pregnancy. One of the most important clinical tools for efficiently regulating maternal blood glucose is strictly monitoring blood glucose levels. However, due to a lack of appropriate intervention tools, managing the occurrence of GDM is still unfeasible. This study aimed to determine clinical efficacy of the internet combined with exercise-based individualized nursing intervention in patients with gestational diabetes mellitus (GDM). Methods In total, 139 patients with GDM were divided into two groups, with 79 patients in the observation group (internet combined with exercise-based individualized nursing intervention) and 60 patients in the control group (routine nursing intervention only). The two groups were given specified nursing intervention for 8 weeks and then compared for changes in their blood glucose, blood lipids, blood pressure, insulin resistance (IR), and rate of adverse pregnancy outcomes. Additionally, the psychological state was analyzed, and their nursing satisfaction with the care from nurses that they received was investigated before and after the nursing intervention. Results Compared with the control group, the following indices of the observation group were lowered: blood glucose-related indices (FBG and 2 h PG), blood lipids and blood pressure associated indices (TG, TC, and HbA1c, DBP, SBP, and MAP), and IR-related indices (FINS, 2 h INS, and HOMA -IR) (all P < 0.05). The observation group also showed a lower rate of adverse pregnancy outcomes than the control group (7.59% vs. 20.00%; P < 0.05). In addition, SAS and SDS scores of the observation group were both lower than the control group (P < 0.05). Accordingly, the nursing satisfaction score also displayed that the observation group (93.67%) had a higher satisfaction outcome than the control group (76.67%; P < 0.05). Conclusions Internet combined with exercise-based individualized nursing intervention in GDM patients can effectively improve their blood glucose, IR, and psychological status, thus significantly improving their pregnancy outcomes and mental condition.

Effects of Early Nursing Monitoring on Pregnancy Outcomes of Pregnant Women with Gestational Diabetes Mellitus under Internet of Things

“…Chen Y et al [ 25 ] applied the combination of IoT and exercise-based individualized nursing intervention in the treatment of 139 patients with GDM. The results showed that the IoT combined with individualized exercise-based nursing intervention could effectively improve patients' blood glucose, insulin resistance, and psychological state, thus significantly improving their pregnancy outcome and mental state.…”

Maternal Pre-Pregnancy Obesity Combined With Abnormal Glucose Metabolism Further Increases Adverse Pregnancy Outcomes in Chinese Pregnant Women

“…Secondly, further studies are needed to explore which lifestyle treatment options could best improve perinatal outcomes in obese women and whether there are some effective interventions to help reduce maternal weight before pregnancy, such as bariatric surgery. Thirdly, a series of effective strategies such as diet, physical exercise, weight management, and blood glucose self-monitoring should be followed by pregnant women during their pregnancy (31)(32)(33)(34). For instance, Chen et al (33) recently showed that internet combined with individualized exercise-based nursing intervention in GDM women can significantly reduce the high blood glucose levels and improve their pregnancy outcomes in relation to routine nursing intervention only.…”

“…Thirdly, a series of effective strategies such as diet, physical exercise, weight management, and blood glucose self-monitoring should be followed by pregnant women during their pregnancy (31)(32)(33)(34). For instance, Chen et al (33) recently showed that internet combined with individualized exercise-based nursing intervention in GDM women can significantly reduce the high blood glucose levels and improve their pregnancy outcomes in relation to routine nursing intervention only. A randomized controlled trial by Bruno et al (34) displayed that the adherence to a personalized, hypocaloric, low-glycemic, low-saturated fat diet started at the early pregnancy stage can prevent the occurrence of GDM in women with ppBMI ≧ ̸ 25 kg/m 2 .…”

“…For instance, Chen et al. ( 33 ) recently showed that internet combined with individualized exercise-based nursing intervention in GDM women can significantly reduce the high blood glucose levels and improve their pregnancy outcomes in relation to routine nursing intervention only. A randomized controlled trial by Bruno et al.…”

Exercise Intervention Improves Blood Glucose Levels and Adverse Pregnancy Outcomes in GDM Patients: A Meta-Analysis

“…Therefore, blood glucose control for pregnant women is essential to protect the health and safety of mothers and fetuses. When pregnant women were diagnosed with GDM, they are frequently recommended to do more exercise and eat regularly [ 8 ]. Drug intervention may only be considered when the target blood glucose level can still not be reached after exercise intervention.…”