The Effect of Health Education Combined with Personalized Psychological Nursing Intervention on Pregnancy Outcome of Pregnant Women with Gestational Diabetes Mellitus

Abstract

Objective. To study the effect of health education combined with personalized psychological nursing intervention on pregnancy outcome of pregnant women with gestational diabetes mellitus (GDM). Methods. 170 patients with GDM admitted to Guangdong Women and Children Hospital from January 2018 to December 2018 were selected as study subjects and randomly divided into two groups. During the period from diagnosis of GDM to termination of pregnancy, both groups were given routine education and routine examination, and the intervention group adopted health education combined with personalized psychological nursing interventions during pregnancy. The pregnancy weight, blood glucose index, compliance, disease awareness, self-adjustment management ability, satisfaction, and pregnancy outcome were measured before and after the intervention. Results. There were no statistically significant differences in pregnancy weight, fasting plasma glucose, and 2 h postprandial blood glucose between the two groups before intervention ( P = 0.768 , 0.605, and 0.762). After intervention, lower levels of the above indicators were obtained in the intervention group than in the control group ( P < 0.001 ). The compliance and satisfaction with the intervention in the intervention group were significantly higher than those in the control group ( P < 0.001 ). The intervention group had remarkably higher disease awareness rate and self-psychological adjustment and management ability than the control group ( P < 0.001 ). Better pregnancy outcomes were observed in the intervention group compared with the control group ( P < 0.001 ). Conclusion. For patients with GDM, health education combined with personalized psychological nursing on the basis of the conventional nursing can effectively control patients’ condition and ensure a better pregnancy outcome, which merits widespread promotion.

Self-care educational guide for mothers with gestational diabetes mellitus: A systematic review on identifying self-care domains, approaches, and their effectiveness

“…FBG was reported to be significant in six studies (Guo et al, 2019 ; He et al, 2022 ; Rasmussen et al, 2020 ; Rokni et al, 2022 ; Tian et al, 2021 ; Xie et al, 2022 ), while four studies found it significant for the one hour or two-hour postprandial blood glucose assessment (Al-Ofi et al, 2019 ; Guo et al, 2019 ; Kolivand et al, 2019 ; Zandinava et al, 2017 ). While three studies found HbAIc to be significant (Guo et al, 2019 ; Kim et al, 2019 ; Mohebbi et al, 2019 ), another two found it to be not significant but decreased in mean (Al-Ofi et al, 2019 ; Mackillop et al, 2018 ).…”

“…There were twelve randomized control trials (RCT) (Al-Ofi et al, 2019 ; Ammulu et al, 2019 ; Gharachourlo et al, 2018 ; Guo et al, 2019 ; He et al, 2022 ; Johnson & Berry, 2018 ; Kolivand et al, 2019 ; Mackillop et al, 2018 ; Mirghafourvand et al, 2019 ; Rasmussen et al, 2020 ; Tian et al, 2021 ; Xie et al, 2022 ; Zandinava et al, 2017 ), four quasi-experimental (Al-Hashmi et al, 2018 ; Kim et al, 2019 ; Mohebbi et al, 2019 ; Rokni et al, 2022 ), two interpretative phenomenological analysis (IPA) designs (Carolan-Olah et al, 2017b ; Skar et al, 2018 ), and one mixed-methods study (Surendran et al, 2021 ) Only three studies applied theory in their research, and all used the Health Belief Model (Mohebbi et al, 2019 ; Skar et al, 2018 ; Surendran et al, 2021 ). This review identified 2,237 women with GDM (1108 in the intervention group, 1094 in the control group, and 35 in the qualitative).…”

“…A total of 12 articles (about half of the total articles reviewed) applied the knowledge or information on the GDM domain in their intervention (Al-Hashmi et al, 2018 ; Al-Ofi et al, 2019 ; Ammulu et al, 2019 ; Guo et al, 2019 ; He et al, 2022 ; Kolivand et al, 2019 ; Mackillop et al, 2018 ; Mohebbi et al, 2019 ; Skar et al, 2018 ; Tavakkoli et al, 2018 ; Zandinava et al, 2017 ). Knowledge or information on GDM includes the definition, causes, symptoms, treatment, and complications of GDM on the mother and fetus and their prevention.…”

“…Ten studies monitored fasting blood glucose (FBG) and one or two hours postprandial (Al-Ofi et al, 2019 ; Guo et al, 2019 ; He et al, 2022 ; Kim et al, 2019 ; Kolivand et al, 2019 ; Rasmussen et al, 2020 ; Rokni et al, 2022 ; Tian et al, 2021 ; Xie et al, 2022 ; Zandinava et al, 2017 ), whereas only five studies measured hemoglobin A1c (HbA1c) (Al-Ofi et al, 2019 ; Guo et al, 2019 ; Kim et al, 2019 ; Mackillop et al, 2018 ; Mohebbi et al, 2019 ).…”

The Implication of Diabetes-Specialized Nurses in Aiming for the Better Treatment and Management of Patients with Diabetes Mellitus: A Brief Narrative Review

“…It is also very essential to provide nursing staff and midwives with proper and regular up-to-date training and resources to ensure quality diabetes care to the patients during their hospital stay in order to reach a certain level of satisfaction by the patients as well as the staff. In addition, to ensure a better pregnancy outcome in patients with GDM, health education should be mixed with personalized psychological nursing to effectively control patients’ conditions [ 45 , 46 ], which merits widespread promotion. In brief, nurses should further be equipped to tackle high-risk pregnancy conditions including GDM.…”