Effects of preventive nursing based on quantitative evaluation on psychological state and maternal–infant outcome in patients with gestational diabetes mellitus

Abstract

Objective

To explore the effects of preventive nursing based on quantitative evaluation on psychological state and maternal–infant outcome in patients with gestational diabetes mellitus (GDM), further, to provide a theoretical basis for the effective management of GDM patients in clinical work.

Methods

From 1 February 2020 to 1 January 2021, 118 patients with GDM presenting to our hospital were included in this retrospective cohort study. According to the type of nursing care, patients were divided into study group and control groups. The study group consisted of 59 GDM patients who were given quantitative evaluation-based preventive nursing care. The control group included 59 GDM patients who were given routine nursing care. Outcome indicators included blood glucose level, degree of social support, resilience, coping style, and maternal–infant outcomes.

Results

There was no significant difference between two groups in other baseline clinical characteristics (p > .05). After the intervention, fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), and 2 h postprandial blood glucose (2hPBG) levels were significantly lower in the study group than that in the control group (p < .05). The scores of objective support, subjective support, and social support utilization in the study group were significantly higher than those in the control group after intervention (p < .05). The scores of optimisms, self-strengthening and tenacity in the study group were significantly less than those in the control group (p < .05). The study group confrontation score was significantly higher, and the avoidance and acceptance scores were significantly lower, compared with the control group (p < .05). The maternal–infant outcome showed that the proportions of cesarean delivery, pregnancy-induced hypertension, polyhydramnios, premature delivery, hyperbilirubinemia, and neonatal hypoglycemia in the study group were significantly lower than those in the control group (p < .05). There was no significant difference in the incidence of postpartum hemorrhage and neonatal 5-min Apgar score between the two groups (p > .05).

Conclusions

In conclusion, preventive nursing based on quantitative assessment can effectively control the blood glucose level of GDM patients, improve their degree of social support, resilience, coping style, and maternal–infant outcomes, which is worthy of clinical application.

Keywords:

• Preventive nursing
• quantitative evaluation
• gestational diabetes mellitus
• psychological state
• maternal–infant outcome

Author contributions

LHL, ZMX, and LHX contributed to the conception and design of the study; LXD, WJ, and WP performed the experiments, collected and analyzed data; LHL, ZMX, and LHX wrote the manuscript; all authors reviewed and approved the final version of the manuscript.

Ethical approval

This study protocol was formulated in accordance with the requirements of the Declaration of Helsinki of the World Medical Association. It was approved by the Ethics Committee of The First Hospital of Hebei Medical University (no. 20200624).

Consent form

The informed consent forms were obtained from all patients.

Disclosure statement

The authors declare that they have no competing interests.

Data availability statement

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

Additional information

Funding

This study was funded by Medical Science Research Project of Hebei Provincial Health Commission (No. 20221438).